MEDICARE: DR. ANGELA FAY DURDEN 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
1	207ZP0105X	Clinical Pathology/Laboratory Medicine Physician	11965	MT
2	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	LL27058	SC
3	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	11965	MT
4	207ZP0101X	Anatomic Pathology Physician	11965	MT
5	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	8113A	WY

General Provider Information

NPI Number	:	1972692416
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANGELA FAY DURDEN M.D.

Provider Business Mailing Address
First Line	:	2900 12TH AVE N
Second Line	:	SUITE 295W
City	:	BILLINGS
State	:	MT
Zip	:	59101-7506
Country	:	US
Telephone Number	:	406-238-6360
Fax Number	:	406-238-6361

Provider Business Practice Location Address
First Line	:	2900 12TH AVE N
Second Line	:	SUITE 295W
City	:	BILLINGS
State	:	MT
Zip	:	59101-7506
Country	:	US
Telephone Number	:	406-238-6360
Fax Number	:	406-238-6361

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

Provider Enumeration Date	:	10/12/2006
Last Update Date	:	12/11/2025

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Directions to “ DR. ANGELA FAY DURDEN M.D.” Practice Location

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