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NPI Code Detail

MEDICARE: PATRICK JOSEPH KRACH MD

MEDICARE: PATRICK JOSEPH KRACH 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
1207Q00000XFamily Medicine Physician11020425AIN
2207Q00000XFamily Medicine Physician116056MT

General Provider Information

NPI Number : 1528627973
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICK JOSEPH KRACH MD
Provider Business Mailing Address
First Line : 1100 HOLLENBECK LN
Second Line :
City : DEER LODGE
State : MT
Zip : 59722-2317
Country : US
Telephone Number : 406-846-1722
Fax Number : 406-846-7708
Provider Business Practice Location Address
First Line : 1100 HOLLENBECK LN
Second Line :
City : DEER LODGE
State : MT
Zip : 59722-2317
Country : US
Telephone Number : 406-846-1722
Fax Number : 406-846-7708
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2019
Last Update Date : 02/08/2023

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