Individual
GAYLE FAYE SACRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
108 W FIRST ST, WHITEHALL, MT 59759-0339
(406) 287-3003
(406) 287-3014
Mailing address
PO BOX 339, WHITEHALL, MT 59759-0339
(406) 287-3003
(406) 287-3014
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3623
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005622
—
ID
05
—
0068744
—
MT
01
—
07160
BCBS MT PROV ID
MT
01
—
138829
WA WORK COMP
WA
01
—
184739200
FED WORK COMP GROUP ID
—
01
—
3623
MT LICENSE
MT
Enumeration date
09/20/2005
Last updated
03/07/2023
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