Organization
YELLOWSTONE DERMATOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERTA J HAWK MD (OWNER)
(406) 238-6115
Entity
Organization
Contact information
Practice address
2900 12TH AVE N, SUITE 240W, BILLINGS, MT 59101-7506
(406) 238-6115
(406) 238-6121
Mailing address
2900 12TH AVE N, SUITE 240W, BILLINGS, MT 59101-7506
(406) 238-6115
(406) 238-6121
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0600017482
MT
Other
Enumeration date
12/09/2008
Last updated
12/09/2008
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