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NPI Code Detail

MEDICARE: JEAN HIGGINS PERETTO PA

MEDICARE:   JEAN  HIGGINS PERETTO  PA
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
1363A00000XPhysician Assistant278MT

General Provider Information

NPI Number : 1821196387
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEAN HIGGINS PERETTO PA
Provider Business Mailing Address
First Line : 316 N 3RD ST
Second Line :
City : HAMILTON
State : MT
Zip : 59840-2480
Country : US
Telephone Number : 406-541-0032
Fax Number :
Provider Business Practice Location Address
First Line : 316 N 3RD ST
Second Line :
City : HAMILTON
State : MT
Zip : 59840-2480
Country : US
Telephone Number : 406-541-0032
Fax Number : 406-541-0036
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2006
Last Update Date : 02/28/2022

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Directions to “ JEAN HIGGINS PERETTO PA” Practice Location

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