Organization
KERMIT RAGAIN, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERMIT RAGAIN M.D. (OWNER)
(406) 345-8408
Entity
Organization
Contact information
Practice address
107 DILWORTH ST, GLENDIVE, MT 59330-2053
(406) 345-8408
(406) 345-3358
Mailing address
107 DILWORTH ST, GLENDIVE, MT 59330-2053
(406) 345-8408
(406) 345-3358
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
7438
MT
2085N0700X
Neuroradiology Physician
7438
MT
2085N0904X
Nuclear Radiology Physician
7438
MT
2085P0229X
Pediatric Radiology Physician
7438
MT
2085R0202X
Diagnostic Radiology Physician
7438
MT
2085R0204X
Vascular & Interventional Radiology Physician
7438
MT
2085U0001X
Diagnostic Ultrasound Physician
7438
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0107978
—
MT
01
—
06741
BLUE CROSS PROV #
MT
Enumeration date
11/01/2006
Last updated
01/02/2008
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