Individual
DR. GREGORY S TIERNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1401 25TH ST S, GREAT FALLS, MT 59405-5183
(406) 731-8888
(406) 731-8876
Mailing address
1401 25TH ST S, GREAT FALLS, MT 59405-5183
(406) 731-8888
(406) 731-8876
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
7579
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000007501
BLUE CROSS BLUE SHIELD
MT
05
—
0103571
—
MT
01
—
0136986
WASHINGTON L&I
MT
01
—
200019136
RAILROAD MEDICARE
MT
01
—
810347861
CHAMPUS
MT
01
—
810347861008
EBMS
MT
Enumeration date
06/22/2006
Last updated
04/05/2024
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