Individual
DR. ROBERT LOYD MINOR JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
801 N 29TH ST, BILLINGS, MT 59101-0905
(406) 238-2500
Mailing address
PO BOX 35100, BILLINGS, MT 59107-5100
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
36076057
IL
207RI0011X
Interventional Cardiology Physician
36076057
IL
207RI0011X
Interventional Cardiology Physician
Primary
MED-PHYS-LIC-58101
MT
2085B0100X
Body Imaging Physician
36076057
IL
2085R0204X
Vascular & Interventional Radiology Physician
36076057
IL
2085U0001X
Diagnostic Ultrasound Physician
36076057
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101 15504
B/C B/S OF ILLINOIS
IL
01
—
CB0709/060018810
RR MEDICARE GOUP #/PIN
GA
Enumeration date
07/18/2006
Last updated
03/17/2018
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