Organization
DONALD H BERDEAUX MD FACP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD H BERDEAUX MD (PRESIDENT)
(406) 731-8150
Entity
Organization
Contact information
Practice address
1117 29TH ST S STE 400, GREAT FALLS, MT 59405-5309
(406) 731-8150
(406) 731-8178
Mailing address
1117 29TH ST S STE 400, GREAT FALLS, MT 59405-5309
(406) 731-8150
(406) 731-8178
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
7270
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH7766
RAILROAD MC GROUP NUMBER
MT
Enumeration date
08/03/2006
Last updated
11/18/2008
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