Individual
DR. ATHENA JANE OCAMPO HALOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
519 E MAIN ST, CUT BANK, MT 59427-3015
(406) 873-5670
(406) 873-5675
Mailing address
519 E MAIN ST, CUT BANK, MT 59427-3015
(406) 873-5670
(406) 873-5675
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12475
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12475
STATE LICENSE
MT
Enumeration date
06/27/2008
Last updated
12/17/2021
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