Individual
DR. ANTHONY JAMES MENICHINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 WILLIAMS STREET, FORT HARRISON, MT 59636
(406) 447-7691
Mailing address
PO BOX 1002, FORT HARRISON, MT 59636-1002
(406) 447-7691
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
126591
NY
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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