# PEARLMED DPC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649025388
- **Authorized official:** DR. ROBERT WAGENAAR MD (OWNER)
- **Authorized official phone:** (406) 707-1111

## Contact information

- **Practice address:** 2795 ENTERPRISE AVE STE 5, BILLINGS, MT 59102-7479
- **Practice address phone:** (406) 702-1111
- **Practice address fax:** (406) 321-5029
- **Mailing address:** 2795 ENTERPRISE AVE STE 5, BILLINGS, MT 59102-7479
- **Mailing address phone:** (406) 702-1111
- **Mailing address fax:** (406) 321-5029

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/17/2024
- **Last updated:** 04/17/2024