Organization
THREE RIVERS ONCOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROY R HALL M.D. (OWNER)
(406) 327-0120
Entity
Organization
Contact information
Practice address
1724 FAIRVIEW AVE, SUITE A, MISSOULA, MT 59801-7872
(406) 327-0120
(406) 327-0117
Mailing address
1724 FAIRVIEW AVE, SUITE A, MISSOULA, MT 59801-7872
(406) 327-0120
(406) 327-0117
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
10706
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0150841
—
MT
01
—
5675300001
DMER NUMBER
MT
Enumeration date
07/15/2006
Last updated
08/22/2020
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