Individual
RANDAL W. PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
801 N 29TH ST, BILLINGS, MT 59101-0905
(406) 238-2500
Mailing address
PO BOX 35100, BILLINGS, MT 59107-5100
(406) 238-2500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
324
MT
363AS0400X
Surgical Physician Assistant
Primary
MED-PAC-LIC-324
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000094773
BCBS PIN
MT
01
—
0439881
MDCD PIN
MT
01
—
122288100
MDCD PIN
WY
Enumeration date
09/23/2006
Last updated
12/14/2021
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