Individual
DR. NEWTON BASIL COUTINHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2419 MULLAN RD STE A, MISSOULA, MT 59808-1856
(406) 541-1400
(406) 541-1401
Mailing address
PO BOX 6011, MISSOULA, MT 59806-6011
(406) 541-1400
(406) 541-1401
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
9628
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124077334
TRICARE
MT
05
—
1124077334
—
MT
01
—
1129013
IDAHO MEDICARE
ID
01
—
97286
BCBSMT
MT
01
—
P000061297
RAILROAD MEDICARE
—
Enumeration date
05/08/2006
Last updated
08/23/2021
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