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Individual

JAMES B WHITWORTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1245 N 29TH ST, BILLINGS, MT 59101-0122
(406) 252-5658
(406) 238-3617
Mailing address
PO BOX 219, BILLINGS, MT 59103-0219
(406) 252-5658
(406) 238-3617

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
6910
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000080470
MEDICARE PTAN
MT
05
0216104
MT
01
14021
BLUE CROSS BLUE SHIELD
MT
01
260031742
RAILROAD MEDICARE
Enumeration date
10/04/2005
Last updated
02/03/2012
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