Organization
FETAL DIAGNOSTIC CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID NEAL JACKSON M.D. (OWNER)
(406) 238-5888
Entity
Organization
Contact information
Practice address
2900 12TH AVE N STE 130W, BILLINGS, MT 59101-7595
(406) 237-5888
(406) 237-5899
Mailing address
2900 12TH AVE N STE 130W, BILLINGS, MT 59101-7595
(406) 237-5888
(406) 237-5899
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
8687
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000017663
—
MT
Enumeration date
05/22/2007
Last updated
08/22/2020
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