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1972191997

NPI Code Detail

MEDICARE: SEAN DALE MCNALL

MEDICARE: SEAN DALE MCNALL

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
1	207R00000X	Internal Medicine Physician	MED-PHYS-LIC-169874	MT
2	390200000X	Student in an Organized Health Care Education/Training Program
3	208M00000X	Hospitalist Physician	MED-PHYS-LIC-169874	MT

General Provider Information

NPI Number	:	1972191997
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SEAN DALE MCNALL

Provider Business Mailing Address
First Line	:	PO BOX 35100
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59107-5100
Country	:	US
Telephone Number	:	406-690-2984
Fax Number	:

Provider Business Practice Location Address
First Line	:	801 N 29TH ST
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59101-0905
Country	:	US
Telephone Number	:	406-690-2984
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/05/2021
Last Update Date	:	06/04/2026

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Directions to “ SEAN DALE MCNALL ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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