Organization · NPI-2
Fetal Diagnostic Center PC
Obstetrics & Gynecology, Maternal & Fetal Medicine · Billings, MT
NPI number1306055645
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1306055645
- Entity type
- Organization (NPI-2)
- Legal business name
- Fetal Diagnostic Center PC
- Organization subpart
- No
- Enumeration date
- May 22, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207VM0101X | Obstetrics & Gynecology, Maternal & Fetal Medicine | 8687 | MT | Yes |
Practice location
2900 12th Ave N Ste 130wBillings, MT 59101-7595
Phone 406-237-5888 · Fax 406-237-5899
Mailing address
2900 12th Ave N Ste 130wBillings, MT 59101-7595
Phone 406-237-5888 · Fax 406-237-5899
Authorized official
David Neal Jackson
Owner
4062385888
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