Individual
RUSSELL OLLERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
801 N 29TH ST, BILLINGS, MT 59101-0905
(206) 543-6577
Mailing address
PO BOX 35100, BILLINGS, MT 59107-5100
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MED-PHYS-LIC-127246
MT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/28/2019
Last updated
09/21/2023
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