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Individual

ROGER G. SANTALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
801 N 29TH ST, BILLINGS, MT 59101-0905
(406) 238-2500
Mailing address
931 HIGHLAND BLVD, STE 3130, BOZEMAN, MT 59715-6914
(406) 414-5070

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
6020
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000093730
BCBS PIN
MT
01
0109408
MDCD PIN
MT
01
101060300
MDCD PIN
WY
01
17622
ND BCBS
ND
01
307896
BCBS PIN
WY
Enumeration date
10/23/2006
Last updated
08/22/2022
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