Individual
RANDY L. SPEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
801 N 29TH ST, BILLINGS, MT 59101-0905
(406) 238-2500
Mailing address
PO BOX 35100, BILLINGS, MT 59107-5100
(406) 238-2500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
23
MT
363AM0700X
Medical Physician Assistant
Primary
MED-PAC-LIC-23
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000090573
BCBS PIN
MT
01
—
0432803
MDCD PIN
MT
01
—
118399100
MDCD PIN
WY
Enumeration date
10/23/2006
Last updated
12/14/2021
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