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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