# TOMMIE L PERUSICH, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Tommie L. Perusich, PMHNP-BC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073142717
- **Authorized official:** MR. DARREN A HOFFMAN (GENERAL MANAGER / BILLING)
- **Authorized official phone:** (406) 646-2470

## Contact information

- **Practice address:** 84 OHIO ST, STE 5, BUTTE, MT 59701-1806
- **Practice address phone:** (406) 646-2470
- **Practice address fax:** (406) 299-3911
- **Mailing address:** 84 OHIO ST, STE 5, BUTTE, MT 59701-1806
- **Mailing address phone:** (406) 646-2470
- **Mailing address fax:** (406) 299-3911

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/04/2020
- **Last updated:** 08/15/2023