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NPI Code Detail

MEDICARE: TROY A FIDDLER M.D.

MEDICARE:   TROY A FIDDLER  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
1207RH0003XHematology & Oncology Physician11070MT
2207RH0003XHematology & Oncology Physician7565AWY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00367451OTHERWYRAILROAD WY MEDICARE ID
4P00114253OTHERMTRAILROAD MT MEDICARE ID

Other Identifiers

General Provider Information

NPI Number : 1730130311
Entity Type Code : Individual
Provider Name (Legal Business Name) : TROY A FIDDLER M.D.
Provider Business Mailing Address
First Line : PO BOX 30976
Second Line :
City : BILLINGS
State : MT
Zip : 59107-0976
Country : US
Telephone Number : 406-238-6290
Fax Number : 406-238-6961
Provider Business Practice Location Address
First Line : 1315 GOLDEN VALLEY CIR
Second Line :
City : BILLINGS
State : MT
Zip : 59102-6746
Country : US
Telephone Number : 406-238-6290
Fax Number : 406-238-6961
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2006
Last Update Date : 09/08/2010

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Directions to “ TROY A FIDDLER M.D.” Practice Location

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