# BUTTE PATHOLOGY LLC

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

## Provider details

- **NPI number:** 1861509382
- **Authorized official:** RANDALL J SHANNON MD (PARTNER)
- **Authorized official phone:** (406) 782-7442

## Contact information

- **Practice address:** 400 S CLARK, BUTTE, MT 59701
- **Practice address phone:** (406) 782-7442
- **Mailing address:** PO BOX 4108, BUTTE, MT 59702-4108
- **Mailing address phone:** (406) 782-7442

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | NULL | Yes |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/23/2006
- **Last updated:** 11/26/2007