MEDICARE: EDWARD MICHAEL URIELL MD

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
1	208D00000X	General Practice Physician	2019014128	MO

General Provider Information

NPI Number	:	1124687876
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EDWARD MICHAEL URIELL MD

Provider Business Mailing Address
First Line	:	1607 AVENUE E APT 2
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59102-3064
Country	:	US
Telephone Number	:	701-247-3366
Fax Number	:

Provider Business Practice Location Address
First Line	:	1607 AVENUE E APT 2
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59102-3064
Country	:	US
Telephone Number	:	701-247-3366
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/06/2019
Last Update Date	:	06/06/2019

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