Individual
PHIL C. MCLAIN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 13TH ST, HAVRE, MT 59501-5223
(406) 265-4541
(406) 265-2148
Mailing address
110 13TH ST, HAVRE, MT 59501-5223
(406) 265-4541
(406) 265-2148
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11230
MT
207Q00000X
Family Medicine Physician
24726
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0038961
—
MT
Enumeration date
10/03/2006
Last updated
10/15/2012
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