Individual
DERIK NEILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1101 26TH ST S, GREAT FALLS, MT 59405-5161
(406) 731-8888
(406) 731-8318
Mailing address
29578 MORNING VIEW LN, BIGFORK, MT 59911-5816
(406) 250-1881
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
110697
MT
Other
Enumeration date
03/30/2018
Last updated
04/08/2024
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