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Individual

DR. JOHN R PENDER IV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2800 10TH AVE N, BILLINGS, MT 59101-0703
(406) 238-5046
Mailing address
PO BOX 35100, BILLINGS, MT 59107-5100
(406) 238-2500

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
200301157
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13688
BCBS NC
NC
05
8913688
NC
Enumeration date
09/12/2005
Last updated
02/10/2022
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