Individual
STANFORD MARK STEKETEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
104 SOUTH MAIN STREET, BOULDER, MT 59632-0566
(406) 225-3111
(406) 225-3444
Mailing address
PO BOX 566, 104 SOUTH MAIN STREET, BOULDER, MT 59632-0566
(406) 225-3111
(406) 225-3444
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1008
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000040723
BLUE CROSS BLUE SHIELD
MT
05
—
0000164322
—
MT
01
—
81039
EBMS
MT
Enumeration date
01/05/2007
Last updated
07/08/2007
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