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NPI Code Detail

MEDICARE: WARING TRIBLE JR. M.D.

MEDICARE: WARING TRIBLE JR. M.D.
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
1207RG0100XGastroenterology Physician0101042665VA
2207RG0100XGastroenterology Physician81148MT

General Provider Information

NPI Number : 1043206238
Entity Type Code : Individual
Provider Name (Legal Business Name) : WARING TRIBLE JR. M.D.
Provider Business Mailing Address
First Line : 915 HIGHLAND BLVD
Second Line : ATTN: PAYER CREDENTIALING
City : BOZEMAN
State : MT
Zip : 59715-6902
Country : US
Telephone Number : 406-414-1826
Fax Number :
Provider Business Practice Location Address
First Line : 875 S COTTONWOOD RD STE 200
Second Line :
City : BOZEMAN
State : MT
Zip : 59718-4222
Country : US
Telephone Number : 406-414-1826
Fax Number : 406-414-1071
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2005
Last Update Date : 07/05/2023

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