Individual
DR. BERILONSON STEPHEN OSIRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1401 25TH ST S, GREAT FALLS, MT 59405-5183
(406) 731-8888
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01090731A
IN
207R00000X
Internal Medicine Physician
52398
MT
207RI0200X
Infectious Disease Physician
01090731A
IN
Other
Enumeration date
11/26/2014
Last updated
08/23/2023
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