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NPI Code Detail

MEDICARE: DR. STEVEN RICHARD ECKLUND M.D.

MEDICARE: DR. STEVEN RICHARD ECKLUND 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
1207RR0500XRheumatology Physician8582MT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1942260773
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEVEN RICHARD ECKLUND M.D.
Provider Business Mailing Address
First Line : 401 W PENNSYLVANIA AVE
Second Line :
City : ANACONDA
State : MT
Zip : 59711-1999
Country : US
Telephone Number : 406-563-8500
Fax Number : 406-563-8694
Provider Business Practice Location Address
First Line : 305 W PENNSYLVANIA AVE
Second Line :
City : ANACONDA
State : MT
Zip : 59711-1900
Country : US
Telephone Number : 406-563-8686
Fax Number : 406-563-8691
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2006
Last Update Date : 02/06/2019

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