Individual
DR. ROBERT ANDREW HEADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2901 BROOKS ST, MISSOULA, MT 59801-7703
(406) 721-0918
Mailing address
PO BOX 7609, MISSOULA, MT 59807-7609
(406) 721-5600
(406) 721-3907
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
11641
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011001941
MEDICARE ID- TYPE UNSPECIFIED
MT
Enumeration date
06/09/2006
Last updated
06/25/2021
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