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Individual

DR. JACE A BIRD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1203 15TH ST, FORT BENTON, MT 59442-7751
(406) 622-5485
(406) 622-5670
Mailing address
1203 15TH ST, FORT BENTON, MT 59442-7751
(406) 622-5485
(406) 622-5670

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12468
MT
207Q00000X
Family Medicine Physician
45865
WI

Other

Enumeration date
11/17/2006
Last updated
01/28/2022
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