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NPI Code Detail

MEDICARE: MR. DANIEL FORREST HOHEIM M.D.

MEDICARE: MR. DANIEL FORREST HOHEIM 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
1174400000XSpecialist6661MT

General Provider Information

NPI Number : 1801889753
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DANIEL FORREST HOHEIM M.D.
Provider Business Mailing Address
First Line : 2831 FORT MISSOULA RD
Second Line : STE. 104
City : MISSOULA
State : MT
Zip : 59804-7419
Country : US
Telephone Number : 406-728-0285
Fax Number : 406-728-0613
Provider Business Practice Location Address
First Line : 2831 FORT MISSOULA RD
Second Line : STE. 104
City : MISSOULA
State : MT
Zip : 59804-7419
Country : US
Telephone Number : 406-728-0285
Fax Number : 406-728-0613
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2005
Last Update Date : 07/08/2007

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