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Organization

DIVIDE CREEK PC

Active
Other names
NEAL ROGERS, MD
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NEAL LAWERANCE ROGERS MD (OWNER)
(406) 723-6526
Entity
Organization

Contact information

Practice address
202 S MONTANA ST, BUTTE, MT 59701-1646
(406) 723-6526
(406) 782-9712
Mailing address
202 S MONTANA ST, BUTTE, MT 59701-1646
(406) 723-6526
(406) 782-9712

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
4335
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000013210
BLUE CROSS BLUE SHIELD
MT
Enumeration date
05/23/2007
Last updated
07/22/2009
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