Individual
MR. DWIGHT GREGG HARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
801 N 29TH ST, BILLINGS, MT 59101-0905
(406) 238-2500
Mailing address
PO BOX 35100, BILLINGS, MT 59107-5100
(406) 238-2500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0311
SD
363A00000X
Physician Assistant
Primary
367
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6825922
—
SD
Enumeration date
02/08/2006
Last updated
11/25/2013
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