Individual
RANDOLPH I ROTTENBILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
760 GOVT. CIRCLE, BLACKFEET COMMUNITY HOSPITAL, BROWNING, MT 59417
(406) 338-6202
(406) 338-2437
Mailing address
PO BOX 258, EAST GLACIER PARK, MT 59434-0258
(406) 338-6202
(406) 339-6237
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5259
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2210052
—
MT
Enumeration date
08/30/2006
Last updated
07/08/2007
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