Organization
TIM WEILL MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY CLARK WEILL MD (CEO)
(406) 761-6880
Entity
Organization
Contact information
Practice address
2800 11TH AVE S, SUITE 13, GREAT FALLS, MT 59405-5263
(406) 761-6880
Mailing address
2800 11TH AVE S, SUITE 13, GREAT FALLS, MT 59405-5263
(406) 761-6880
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6151
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0065739
—
MT
Enumeration date
04/12/2007
Last updated
08/22/2020
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