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Individual

DR. ALEXANDER N CHUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
500 15TH AVE S, GREAT FALLS, MT 59405-4324
(406) 731-8888
(406) 731-8318
Mailing address
1401 25TH ST S, GREAT FALLS, MT 59405-5183
(406) 731-8888
(406) 731-8876

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
9576
MT
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
9576
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000092241
BLUE CROSS BLUE SHIELD
MT
05
0027833
MT
01
0148236
WASHINGTON L & I
MT
01
184609700
FEDERAL WORK COMP
MT
01
200039889
RAILROAD MEDICARE
MT
01
810347861
CHAMPUS
MT
01
810347861011
EBMS
MT
Enumeration date
06/16/2006
Last updated
04/05/2024
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