Organization
YELLOWSTONE FAMILY MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
L ELANE SHIRAR MD (PRESIDENT)
(406) 646-0200
Entity
Organization
Contact information
Practice address
236 YELLOWSTONE AVENUE, WEST YELLOWSTONE, MT 59758-0427
(406) 646-0200
(406) 646-0400
Mailing address
PO BOX 427, 236 YELLOWSTONE AVENUE, WEST YELLOWSTONE, MT 59758-0427
(406) 646-0200
(406) 646-0400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10013
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9989343
—
MT
Enumeration date
09/25/2006
Last updated
10/02/2008
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