Individual
STEPHEN BASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
620 S HAYNES AVE, MILES CITY, MT 59301-4769
(406) 233-7000
Mailing address
PO BOX 35100, BILLINGS, MT 59107-5100
(406) 233-7000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9791
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000099535
BCBS PIN
MT
01
—
0094792
MDCD PIN
MT
01
—
120657500
MDCD PIN
MT
Enumeration date
07/24/2006
Last updated
02/27/2008
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