Organization
WHITEFISH DERMATOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA BRYAN PYNES (OFFICE MANAGER/PART OWNER)
(334) 791-2708
Entity
Organization
Contact information
Practice address
401 BAKER AVE, WHITEFISH, MT 59937-2499
(406) 862-7546
Mailing address
PO BOX 640, WHITEFISH, MT 59937-0640
(406) 862-7546
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
12763
MT
Other
Enumeration date
09/13/2012
Last updated
03/07/2023
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