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Individual

ROMI MARIE COOLIDGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
1200 WESTWOOD DR, HAMILTON, MT 59840-2345
(406) 363-2211
(406) 375-4846
Mailing address
1200 WESTWOOD DR, HAMILTON, MT 59840-2345
(406) 375-4823
(406) 375-4846

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
006595
AZ
208M00000X
Hospitalist Physician
Primary
49173
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
011991
AZ
05
1780940098
ID
Enumeration date
04/11/2012
Last updated
10/12/2016
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