Individual
DR. BRONSON B WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3687 VETERANS DR, FORT HARRISON, MT 59636-9703
(406) 447-7190
Mailing address
PO BOX 181, FORT HARRISON, MT 59636-0181
(406) 447-7190
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A 1121-99
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000K3526
—
NM
01
—
HSZ196
MEDICARE PART B
NM
Enumeration date
10/31/2006
Last updated
08/30/2012
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