Individual
GARY L SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1224 W MAIN ST, HAMILTON, MT 59840-2338
(406) 363-1100
(406) 363-2148
Mailing address
1224 W MAIN ST, HAMILTON, MT 59840-2338
(406) 375-4823
(406) 375-4846
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
8291
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000070892
MEDICARE MDMH
MT
01
—
010001507
MEDICARE BITTERROOT CLINIC
MT
05
—
1861439408
—
MT
Enumeration date
06/01/2006
Last updated
05/01/2013
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