Individual
DR. RANDALE CRAIG SECHREST
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
228 W MAIN ST, SUITE D, MISSOULA, MT 59802-4345
(406) 721-3072
(406) 721-2619
Mailing address
228 W MAIN ST, SUITE D, MISSOULA, MT 59802-4345
(406) 721-3072
(406) 721-2619
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
6144
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0063401
—
MT
01
—
94230
BLUE CROSS/BLUE SHIELD
MT
Enumeration date
09/07/2005
Last updated
07/08/2007
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