Individual
DR. ANNIE L CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
915 HIGHLAND BLVD # 3220, BOZEMAN, MT 59715-6902
(406) 556-5535
Mailing address
915 HIGHLAND BLVD # 3220, BOZEMAN, MT 59715-6902
(406) 556-5535
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
6439
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0141011
—
MT
01
—
110222892
MEDICARE RAILROAD
—
01
—
97620
BLUE CROSS
—
Enumeration date
07/27/2006
Last updated
10/11/2007
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