MEDICARE: MONTANA ALLERGY, PLLC

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
1	261Q00000X	Clinic/Center
2	207K00000X	Allergy & Immunology Physician	10269	MT

General Provider Information

NPI Number	:	1629208772
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MONTANA ALLERGY, PLLC

Provider Business Mailing Address
First Line	:	3860 AVENUE B STE C
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59102-6273
Country	:	US
Telephone Number	:	406-237-5500
Fax Number	:	406-237-5510

Provider Business Practice Location Address
First Line	:	3860 AVENUE B STE C
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59102-6273
Country	:	US
Telephone Number	:	406-237-5500
Fax Number	:	406-237-5510

Authorized Official
Title or Position	:	OWNER
Name	:	THOMAS E SCARBOROUGH JR.
Credential	:	M.D.
Telephone Number	:	406-237-5500

Provider Enumeration Date	:	07/23/2009
Last Update Date	:	11/15/2023

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