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NPI Code Detail

MEDICARE: JENNIFER J PFLUG MD

MEDICARE: JENNIFER J PFLUG MD
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
1208M00000XHospitalist Physician11169MT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000094786OTHERMTBCBS PIN
2123318100OTHERWYMDCD PIN
30158270OTHERMTMDCD PIN

General Provider Information

NPI Number : 1912989542
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER J PFLUG MD
Provider Business Mailing Address
First Line : PO BOX 35100
Second Line :
City : BILLINGS
State : MT
Zip : 59107-5100
Country : US
Telephone Number : 406-657-4000
Fax Number :
Provider Business Practice Location Address
First Line : 2800 10TH AVE N
Second Line :
City : BILLINGS
State : MT
Zip : 59101-0703
Country : US
Telephone Number : 406-657-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2005
Last Update Date : 02/21/2022

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