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Individual

DR. RONALD W. THARP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1648 ELLIS ST STE 201, BOZEMAN, MT 59715-8811
(406) 587-8631
(406) 587-1343
Mailing address
1648 ELLIS ST STE 201, BOZEMAN, MT 59715-8811
(406) 587-8631
(406) 587-1343

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
7873
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0108987
MT
05
0144721
MT
Enumeration date
04/04/2006
Last updated
09/21/2020
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