Individual
DR. GREGORY BRIAN FAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
216 14TH AVE SW, SIDNEY, MT 59270-3519
(406) 488-2167
Mailing address
214 14TH AVE SW STE 106B, SIDNEY, MT 59270-3521
(406) 488-2280
(406) 488-2149
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
4480
MT
2085R0202X
Diagnostic Radiology Physician
Primary
4480
MT
2085U0001X
Diagnostic Ultrasound Physician
4480
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0066989
—
MT
01
—
016360
BLUECROSSBLUESHIELD
MT
Enumeration date
10/17/2006
Last updated
08/19/2009
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