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NPI Code Detail

MEDICARE: TIMOTHY W CARTE M.D.

MEDICARE: TIMOTHY W CARTE 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
1208000000XPediatrics Physician4409MT

General Provider Information

NPI Number : 1770534315
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIMOTHY W CARTE M.D.
Provider Business Mailing Address
First Line : 6 13TH AVE E
Second Line :
City : POLSON
State : MT
Zip : 59860-5315
Country : US
Telephone Number : 406-883-5680
Fax Number : 406-883-8910
Provider Business Practice Location Address
First Line : 6 13TH AVE E
Second Line :
City : POLSON
State : MT
Zip : 59860-5315
Country : US
Telephone Number : 406-883-5680
Fax Number : 406-883-8910
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2006
Last Update Date : 07/08/2007

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