Organization
CAIRN MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREG VANICHKACHORN MD, MPH (PRESIDENT)
(406) 300-4712
Entity
Organization
Contact information
Practice address
8111 HIGHWAY 35, SUITE 210, BIGFORK, MT 59911
(406) 300-4712
(406) 420-5050
Mailing address
8111 HIGHWAY 35, SUITE 210, BIGFORK, MT 59911
(406) 300-4712
(406) 420-5050
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12202
MT
2083X0100X
Occupational Medicine Physician
12202
MT
Other
Enumeration date
04/04/2018
Last updated
10/18/2018
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