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NPI Code Detail

MEDICARE: ROBERT J ALFIERO PA-C

MEDICARE: ROBERT J ALFIERO 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 Assistant243MT

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 : 1417029059
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT J ALFIERO PA-C
Provider Business Mailing Address
First Line : 126 6TH AVE SW
Second Line :
City : RONAN
State : MT
Zip : 59864-2600
Country : US
Telephone Number : 406-528-5580
Fax Number : 406-528-5589
Provider Business Practice Location Address
First Line : 126 6TH AVE SW
Second Line :
City : RONAN
State : MT
Zip : 59864-2600
Country : US
Telephone Number : 406-528-5580
Fax Number : 406-528-5589
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2006
Last Update Date : 10/28/2011

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