Individual
DR. PHILIP G DRISCOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
BLACKFEET COMMUNITY HOSPITAL, GOVERNMENT SQUARE, BROWNING, MT 59417
(406) 338-6180
Mailing address
BLACKFEET COMMUNITY HOSPITAL, P.O. BOX 760, BROWNING, MT 59417
(406) 338-6180
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
4274
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4274
STATE DENTAL LICENSE
LA
Enumeration date
03/09/2007
Last updated
07/31/2007
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