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NPI Code Detail

MEDICARE: PATRICK W. TUFTS M.D.

MEDICARE:   PATRICK W. TUFTS  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
1207Q00000XFamily Medicine Physician10857MT
2207Q00000XFamily Medicine Physician8720AWY
3207Q00000XFamily Medicine PhysicianM-12773ID
4207Q00000XFamily Medicine Physician2015003661MO

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
384761OTHERMTMEDICARE PART B

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
199758OTHERBC/BS OF MONTANA
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1093828949
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICK W. TUFTS M.D.
Provider Business Mailing Address
First Line : 255 N 30TH ST
Second Line :
City : LARAMIE
State : WY
Zip : 82072-5140
Country : US
Telephone Number : 307-755-4406
Fax Number :
Provider Business Practice Location Address
First Line : 255 N 30TH ST
Second Line :
City : LARAMIE
State : WY
Zip : 82072-5140
Country : US
Telephone Number : 307-755-4406
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2006
Last Update Date : 01/04/2017

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