Individual
TIMOTHY P ROUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1401 25TH ST S, GREAT FALLS, MT 59405-5183
(406) 731-8888
(406) 731-8876
Mailing address
1401 25TH ST S, GREAT FALLS, MT 59405
(406) 731-8888
(406) 731-8876
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
8403
MT
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
M8403
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0107321
—
MT
Enumeration date
08/02/2005
Last updated
04/08/2024
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