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Individual

TOR ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1200 WESTWOOD DR STE I, HAMILTON, MT 59840-2345
(406) 363-1100
(406) 375-4884
Mailing address
1200 WESTWOOD DR, HAMILTON, MT 59840-2345

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MED-PHYS-LIC-129104
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1417586777
ID
05
200018914
MT
Enumeration date
04/07/2020
Last updated
11/12/2024
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