Individual
ROGER PAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
305 W PENNSYLVANIA AVE, ANACONDA, MT 59711-1900
(406) 563-8686
(406) 563-8691
Mailing address
401 W PENNSYLVANIA AVE, ANACONDA, MT 59711-1999
(406) 563-8500
(406) 563-8694
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
20296
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0477018
—
IA
01
—
1497802797
NPI
MT
01
—
P00708635
RR MEDICARE
IA
Enumeration date
01/05/2007
Last updated
02/01/2021
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