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NPI Code Detail

MEDICARE: MONTANA PEDIATRIC CRITICAL CARE, PC

MEDICARE: MONTANA PEDIATRIC CRITICAL CARE, PC
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
12080P0203XPediatric Critical Care Medicine Physician

General Provider Information

NPI Number : 1972596880
Entity Type Code : Organization
Provider Name (Legal Business Name) : MONTANA PEDIATRIC CRITICAL CARE, PC
Provider Business Mailing Address
First Line : 3006 S MARYLAND PKWY
Second Line : 505
City : LAS VEGAS
State : NV
Zip : 89109-2218
Country : US
Telephone Number : 702-697-0082
Fax Number : 702-369-5827
Provider Business Practice Location Address
First Line : 1233 N 30TH ST
Second Line :
City : BILLINGS
State : MT
Zip : 59101-0127
Country : US
Telephone Number : 888-350-2911
Fax Number :
Authorized Official
Title or Position : OWNER/DIRECTOR
Name : JAMES D SWIFT
Credential : M.D.
Telephone Number : 702-697-0082
Provider Enumeration Date : 08/25/2005
Last Update Date : 05/27/2008

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