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NPI Code Detail

MEDICARE: MR. RICHARD SPILLMAN PA-C

MEDICARE:  MR. RICHARD  SPILLMAN  PA-C
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
1363A00000XPhysician Assistant342MT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1104810753
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RICHARD SPILLMAN PA-C
Provider Business Mailing Address
First Line : 1805 OAKRIDGE LN
Second Line :
City : BILLINGS
State : MT
Zip : 59102-0774
Country : US
Telephone Number : 406-256-6350
Fax Number :
Provider Business Practice Location Address
First Line : 2800 10TH AVE N
Second Line :
City : BILLINGS
State : MT
Zip : 59101-0703
Country : US
Telephone Number : 406-657-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2005
Last Update Date : 05/28/2009

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Directions to “ MR. RICHARD SPILLMAN PA-C” Practice Location

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