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Individual
DEANNA PHINNEY
Active
Individual
DEANNA PHINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
8204
MT
207Q00000X
Family Medicine Physician
Primary
8204
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000093056
BCBS
MT
05
—
0152503
—
MT
Enumeration date
03/06/2007
Last updated
07/05/2019
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