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NPI Code Detail

MEDICARE: DR. WILEY RAY BLAND M.D.

MEDICARE: DR. WILEY RAY BLAND 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
12085R0202XDiagnostic Radiology Physician3598MT

General Provider Information

NPI Number : 1497761506
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILEY RAY BLAND M.D.
Provider Business Mailing Address
First Line : 630 POLY DR
Second Line :
City : BILLINGS
State : MT
Zip : 59102-1934
Country : US
Telephone Number : 406-259-0354
Fax Number :
Provider Business Practice Location Address
First Line : 2345 KING AVE W
Second Line :
City : BILLINGS
State : MT
Zip : 59102-6422
Country : US
Telephone Number : 406-651-5670
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2006
Last Update Date : 12/21/2025

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