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Individual

MR. DOUGLAS P LIVINGSTONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.T.

Contact information

Practice address
500 15TH AVE S, SUITE 1, GREAT FALLS, MT 59405-4324
(406) 455-3650
(406) 455-3650
Mailing address
500 15TH AVE S, SUITE 1, GREAT FALLS, MT 59405-4324
(406) 455-3650
(406) 455-3650

Taxonomy

Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
48
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000066070
BLUE CROSS BLUE SHIELD
MT
01
0141385
WASHINGTON L & I
MT
05
3400787
MT
01
810347861
CHAMPUS
MT
01
810347861006
EBMS
MT
01
P00134072
RAILROAD MEDICARE
MT
Enumeration date
06/11/2006
Last updated
05/29/2008
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