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NPI Code Detail

MEDICARE: DR. ERIC L. MARANDA M.D.

MEDICARE:  DR. ERIC L. MARANDA  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
1207ND0101XMOHS-Micrographic Surgery Physician98511MT
2208D00000XGeneral Practice Physician98511MT
3207N00000XDermatology Physician98511MT

General Provider Information

NPI Number : 1205362043
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ERIC L. MARANDA M.D.
Provider Business Mailing Address
First Line : 178 S 32ND ST W STE 3
Second Line :
City : BILLINGS
State : MT
Zip : 59102-6889
Country : US
Telephone Number : 305-409-7584
Fax Number :
Provider Business Practice Location Address
First Line : 178 S 32ND ST W STE 3
Second Line :
City : BILLINGS
State : MT
Zip : 59102-6889
Country : US
Telephone Number : 406-702-1323
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2017
Last Update Date : 02/08/2022

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Directions to “ DR. ERIC L. MARANDA M.D.” Practice Location

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