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Individual

ROBERT FROST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2740 SOUTH AVE W, MISSOULA, MT 59804
(509) 363-7788
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
(303) 493-7000

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
70388
MT
2085R0202X
Diagnostic Radiology Physician
MD60921112
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1831538701
NPI
MT
Enumeration date
06/24/2013
Last updated
07/15/2019
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