Individual
THOMAS G JENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8299 MT HIGHWAY 35, BIGFORK, MT 59911-3583
(406) 837-5541
(406) 837-5543
Mailing address
8299 MT HWY 35, BIGFORK, MT 59911
(406) 837-5541
(406) 837-5543
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4682
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1851353965
BCBS
MT
05
—
1851353965
—
MT
Enumeration date
04/04/2006
Last updated
04/16/2012
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