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Individual

DR. LOTFI BEN-YOUSSEF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
214 14TH AVE SW STE 108, SIDNEY, MT 59270-3521
(406) 488-2277
(406) 488-2530
Mailing address
214 14TH AVE SW STE 108, SIDNEY, MT 59270-3521
(406) 488-2277
(406) 488-2530

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4815
MT
207X00000X
Orthopaedic Surgery Physician
5302
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000082342
MEDICARE GROUP
MT
01
000017170
BC BS MT
MT
05
0069628
MT
05
0179554
MT
05
15041
ND
01
184683900
FEDERAL WC
01
200001236
RR MEDICARE
Enumeration date
02/14/2007
Last updated
02/18/2010
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