Individual
DIANA J KOVACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2900 12TH AVE N STE 140W, BILLINGS, MT 59101-7507
(406) 237-5050
(406) 238-6599
Mailing address
2900 12TH AVE N STE 140W, BILLINGS, MT 59101-7507
(406) 237-5050
(406) 238-6599
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-03489
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010-03489
NCMB LICENSE
NC
01
—
PTAN NC7156A
MEDICARE PTAN
NC
Enumeration date
05/21/2012
Last updated
03/07/2023
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