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Individual

DANIEL RICHARD MATTSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
3111 AVENUE E, BILLINGS, MT 59102-6548
(406) 490-3983
Mailing address
3111 AVENUE E, BILLINGS, MT 59102-6548
(406) 490-3983

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN28323
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4308135
MT
05
9646944
WA
Enumeration date
07/14/2006
Last updated
11/25/2013
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