Individual
DR. TRISTAN E KOHUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
600 CONLEY LAKE RD, DEER LODGE, MT 59722-8710
(406) 846-1320
Mailing address
600 CONLEY LAKE RD, DEER LODGE, MT 59722-8710
(406) 846-1320
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11151
MT
Other
Enumeration date
03/29/2007
Last updated
07/09/2007
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