Organization
J MICHAEL DRISCOLL, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN M DRISCOLL MD (MD)
(406) 723-2570
Entity
Organization
Contact information
Practice address
400 S CLARK ST, BUTTE, MT 59701-2328
(406) 723-2570
Mailing address
PO BOX 3238, BUTTE, MT 59702-3238
(800) 667-9334
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
3661
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018700
—
MT
01
—
DD3733
RAILROAD MEDICARE
—
Enumeration date
09/27/2007
Last updated
06/23/2008
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