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Individual

FRANK ROBIN HAIDLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
1343 US HIGHWAY 93 N, EUREKA, MT 59917-9503
(406) 297-3915
(406) 297-3364
Mailing address
PO BOX 1456, EUREKA, MT 59917-1456
(406) 297-3915
(406) 297-3364

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
783PT
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1124065776
BCBS
MT
05
1124065776
MT
Enumeration date
06/01/2006
Last updated
03/23/2017
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