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NPI Code Detail

MEDICARE: ROBERT E. TOMPKINS EDD

MEDICARE: ROBERT E. TOMPKINS EDD
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
1103T00000XPsychologist63MT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000051610OTHERMTBCBS PIN
20492388OTHERMTMDCD PIN

General Provider Information

NPI Number : 1104925098
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT E. TOMPKINS EDD
Provider Business Mailing Address
First Line : PO BOX 21557
Second Line :
City : BILLINGS
State : MT
Zip : 59104-1557
Country : US
Telephone Number : 406-259-2487
Fax Number :
Provider Business Practice Location Address
First Line : 1018 N 30TH ST
Second Line :
City : BILLINGS
State : MT
Zip : 59101-0732
Country : US
Telephone Number : 406-259-2487
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2006
Last Update Date : 12/21/2016

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Directions to “ ROBERT E. TOMPKINS EDD” Practice Location

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