Individual
DR. JONATHAN B PINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
305 W PENNSYLVANIA AVE, ANACONDA, MT 59711
(406) 563-8571
(406) 563-8523
Mailing address
401 W PENNSYLVANIA AVE, ANACONDA, MT 59711-1931
(406) 563-8500
(406) 563-8694
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
25MB05029700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013999598
—
MT
Enumeration date
11/18/2005
Last updated
05/31/2018
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