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NPI Code Detail

MEDICARE: WALTER C. DEGNAN MD

MEDICARE: WALTER C. DEGNAN 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
1207RC0000XCardiovascular Disease Physician3524MT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1100223600OTHERWYMDCD PIN
2307888OTHERWYBCBS PIN
3000005940OTHERMTBCBS PIN
40011594OTHERMTMDCD PIN

General Provider Information

NPI Number : 1558384404
Entity Type Code : Individual
Provider Name (Legal Business Name) : WALTER C. DEGNAN MD
Provider Business Mailing Address
First Line : PO BOX 35100
Second Line :
City : BILLINGS
State : MT
Zip : 59107-5100
Country : US
Telephone Number : 406-238-2500
Fax Number :
Provider Business Practice Location Address
First Line : 1020 N 27TH ST
Second Line :
City : BILLINGS
State : MT
Zip : 59101-0760
Country : US
Telephone Number : 406-238-2500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2006
Last Update Date : 05/16/2008

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Directions to “ WALTER C. DEGNAN MD” Practice Location

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