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NPI Code Detail

MEDICARE: WILLIAM BRECK HOWARD MD

MEDICARE:   WILLIAM BRECK HOWARD  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
12085N0700XNeuroradiology Physician3387MT

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1300134948OTHERMTRR MEDICARE
4P00399528OTHERRAILROAD MEDICARE

Other Identifiers

General Provider Information

NPI Number : 1548253131
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM BRECK HOWARD MD
Provider Business Mailing Address
First Line : PO BOX 1020
Second Line :
City : PLAINS
State : MT
Zip : 59859-1020
Country : US
Telephone Number : 406-826-6600
Fax Number : 406-826-0143
Provider Business Practice Location Address
First Line : 1208 6TH AVE
Second Line :
City : SUPERIOR
State : MT
Zip : 59872-9667
Country : US
Telephone Number : 406-826-4506
Fax Number : 406-826-0143
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2005
Last Update Date : 03/28/2008

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