Individual
REBECCA L DANFORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
500 W BROADWAY ST, MISSOULA, MT 59802
(406) 721-5600
(406) 329-7547
Mailing address
PO BOX 7609, MISSOULA, MT 59807-7609
(406) 721-5600
(406) 329-7547
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
12452
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164570172
—
MT
Enumeration date
01/08/2007
Last updated
06/21/2021
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