Individual
DALE M. PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2825 8TH AVE N, BILLINGS, MT 59101-0909
(406) 238-2500
Mailing address
PO BOX 35100, BILLINGS, MT 59107-5100
(406) 238-2500
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
3859
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0011815
MDCD PIN
MT
01
—
307893
BCBS PIN
WY
Enumeration date
09/24/2006
Last updated
02/28/2008
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