Individual
JAMES EDWARD THREATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
907 BROADWATER SQ, BILLINGS, MT 59101-1634
(406) 259-1155
(406) 259-1773
Mailing address
907 BROADWATER SQ, BILLINGS, MT 59101-1634
(406) 259-1155
(406) 259-1773
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4496
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000014500
BLUE CROSS/BLUE SHIELD
MT
05
—
0054288
—
MT
01
—
180000571
RAILROAD MEDICARE
—
Enumeration date
07/24/2006
Last updated
02/26/2016
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