Organization
PARK COUNTY
Active
Organization
PARK COUNTY
Active
Other names
Park County, Park County
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAUREL DESNICK MD (HEALTH OFFICER)
(406) 222-4145
Entity
Organization
Contact information
Practice address
414 E CALLENDER ST, LIVINGSTON, MT 59047-2746
(406) 222-4140
(406) 222-4138
Mailing address
414 E CALLENDER ST, LIVINGSTON, MT 59047-2746
(406) 222-4145
(406) 222-4763
Taxonomy
Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
Primary
RN013198
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
290316
—
MT
05
—
290602
—
MT
05
—
3501381
—
MT
Enumeration date
12/26/2006
Last updated
06/04/2024
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