Organization
INDIAN HEALTH SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOMMY MELKUS RDMS, RT,R, CT. (DIAGNOSTIC SONOGRAPHER RADIOGRAPHER)
(406) 477-4493
Entity
Organization
Contact information
Practice address
1030 BLUE SAGE CT, HARDIN, MT 59034-2257
(406) 477-4493
Mailing address
100 CHEYENNE, LAME DEER, MT 59043
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
108936
MT
Other
Enumeration date
06/14/2007
Last updated
08/22/2020
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