Organization
BUTTE PATHOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL J SHANNON MD (PARTNER)
(406) 782-7442
Entity
Organization
Contact information
Practice address
400 S CLARK, BUTTE, MT 59701
(406) 782-7442
Mailing address
PO BOX 4108, BUTTE, MT 59702-4108
(406) 782-7442
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
08/23/2006
Last updated
11/26/2007
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