Individual
MARY CAROLINE DEIGERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
123 S 27TH ST, BILLINGS, MT 59101-4227
(406) 247-3350
(406) 247-3389
Mailing address
123 S 27TH ST, BILLINGS, MT 59101-4227
(406) 247-3350
(406) 247-3389
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
450
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000097213
BCBS PIN
MT
01
—
123054900
MDCD PIN
WY
Enumeration date
05/19/2006
Last updated
10/12/2023
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