Individual
DIANE M EODICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
820 N MONTANA AVE, HELENA, MT 59601-3856
(406) 443-7733
(406) 443-8292
Mailing address
820 NORTH MONTANA AVENUE, HELENA, MT 59601-4926
(406) 443-7733
(406) 443-8292
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9893
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0092667
—
MT
01
—
0098935
BCBS
MT
Enumeration date
01/19/2006
Last updated
12/03/2012
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