Individual
TANIELLE RAQUEL UNGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2825 8TH AVE N, BILLINGS, MT 59101-0909
(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
MED-PAC-LIC-90892
MT
363AS0400X
Surgical Physician Assistant
Primary
MED-PAC-LIC-90892
MT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/22/2020
Last updated
12/14/2021
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