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NPI Code Detail

MEDICARE: RONALD HAMM PA

MEDICARE: RONALD HAMM PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician Assistant162MT

General Provider Information

NPI Number : 1003893033
Entity Type Code : Individual
Provider Name (Legal Business Name) : RONALD HAMM PA
Provider Business Mailing Address
First Line : 16 W MAIN ST
Second Line :
City : WHITE SULPHUR SPRINGS
State : MT
Zip : 59645-9036
Country : US
Telephone Number : 406-547-3321
Fax Number : 406-547-3298
Provider Business Practice Location Address
First Line : 16 W MAIN ST
Second Line :
City : WHITE SULPHUR SPRINGS
State : MT
Zip : 59645-9036
Country : US
Telephone Number : 406-547-3321
Fax Number : 406-547-3298
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/30/2005
Last Update Date : 10/29/2019

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