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Organization

BENEFIS MEDICAL GROUP

Active
Other names
Benefis Physician Associates, Inc.
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JERRY W. SPEER MD (PRESIDENT)
(406) 455-2920
Entity
Organization

Contact information

Practice address
1117 29TH STREET SOUTH, GREAT FALLS, MT 59405-5306
(406) 455-8150
Mailing address
P.O. BOX 6010, GREAT FALLS, MT 59406-6010
(406) 455-2900
(406) 455-2902

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
7270
MT
2080P0207X
Pediatric Hematology & Oncology Physician
10145
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000093788
H-BCBS
MT
01
0000094908
B-BCBS
MT
01
0000099035
BCBS
MT
01
0000372861
W-BCBS
MT
01
500018658
RR
MT
01
830006549
RR
MT
01
P00386826
MEDICARE RAILROAD
MT
01
P00393761
RR
MT
Enumeration date
09/09/2008
Last updated
11/22/2010
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