Individual
ALAN DEAN FAST HORSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BBHPSS
Contact information
Practice address
603 1/2 COURT AVE., POPLAR, MT 59255
(406) 768-3852
(406) 768-5202
Mailing address
PO BOX 1027, POPLAR, MT 59255-1027
(406) 768-3852
(406) 768-5202
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
BBH-BHPS-CRT-50151
MT
Other
Enumeration date
07/29/2022
Last updated
07/29/2022
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