Individual
ROMEO BLUE WEASEL BOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
ROCKY BOY HEALTH CENTER, 6850 UPPER BOX ELDER RD, BOX ELDER, MT 59521
(406) 395-4486
Mailing address
319 GRASSLINE DR, BOX ELDER, MT 59521-8855
(406) 399-5172
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
MT
Other
Enumeration date
12/05/2024
Last updated
12/05/2024
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