Individual
DAVID M KIDDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
401 W PENNSYLVANIA ST, ANACONDA, MT 59711-1931
(406) 563-8500
Mailing address
401 W PENNSYLVANIA ST, ANACONDA, MT 59711-1931
(406) 563-8500
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
4425
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346293149
1346293149
MT
Enumeration date
05/19/2006
Last updated
07/07/2014
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