Individual
ELIE J SOUEIDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
2702 8TH AVE N, BILLINGS, MT 59101-1107
(406) 238-5200
(406) 238-5218
Mailing address
PO BOX 35100, BILLINGS, MT 59107-5100
(406) 238-5200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
359
MT
363AS0400X
Surgical Physician Assistant
Primary
MED-PAC-LIC-359
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4303390
—
MT
01
—
900633
BCBS PIN
MT
Enumeration date
06/18/2006
Last updated
12/14/2021
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