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NPI Code Detail

MEDICARE: DR. DONALD ROLAND SKILLMAN M.D.

MEDICARE: DR. DONALD ROLAND SKILLMAN 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
1207RI0200XInfectious Disease Physician6289MT

General Provider Information

NPI Number : 1114915360
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DONALD ROLAND SKILLMAN M.D.
Provider Business Mailing Address
First Line : 2475 E BROADWAY ST
Second Line :
City : HELENA
State : MT
Zip : 59601-4928
Country : US
Telephone Number : 406-457-4180
Fax Number : 406-495-6869
Provider Business Practice Location Address
First Line : 2475 E BROADWAY ST
Second Line :
City : HELENA
State : MT
Zip : 59601-4928
Country : US
Telephone Number : 406-457-4180
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2005
Last Update Date : 01/23/2018

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