Individual
BRYANNA CORDEIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
305 N MAIN ST, ENNIS, MT 59729-8001
(406) 682-4223
Mailing address
305 N MAIN ST, ENNIS, MT 59729-8001
(406) 682-4223
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
128780
MT
Other
Enumeration date
04/08/2020
Last updated
09/27/2023
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