Individual
ROBERT BRUCE VANNICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
319 1ST AVE, LAUREL, MT 59044
(406) 628-4955
(406) 628-4362
Mailing address
BOX 445, LAUREL, MT 59044-0495
(405) 628-4955
(406) 628-4362
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4566
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000060673
—
MT
Enumeration date
11/27/2006
Last updated
11/24/2007
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