Individual
DIMITRIOS KOUDOUMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D
Contact information
Practice address
1101 26TH ST S, GREAT FALLS, MT 59405-5161
(406) 731-8888
(406) 731-8876
Mailing address
1101 26TH ST S, GREAT FALLS, MT 59405-5161
(406) 731-8888
(406) 731-8876
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
118900
MT
Other
Enumeration date
11/03/2011
Last updated
04/08/2024
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