Individual
TYRA R HUVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1400 29TH STREET SOUTH, GREAT FALLS, MT 59405
(406) 454-2171
(406) 771-3021
Mailing address
1400 29TH STREET SOUTH, GREAT FALLS, MT 59405
(406) 454-2171
(406) 771-3021
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
ME0054086
FL
208000000X
Pediatrics Physician
Primary
10714
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
055223200
—
FL
01
—
07934
BCBS
FL
05
—
1275563215
—
MT
Enumeration date
07/04/2006
Last updated
08/15/2011
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