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Individual

DR. WILLIAM M IANNACONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
310 WENDELL AVENUE, SUITE 5, LEWISTOWN, MT 59457-2267
(406) 538-1456
(406) 538-1422
Mailing address
310 WENDELL AVENUE, SUITE 5, LEWISTOWN, MT 59457-2267
(406) 538-1456
(406) 538-1422

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
8732
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
99698
BC BS MONTANA
MT
Enumeration date
10/05/2006
Last updated
07/08/2007
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