Individual
DR. DEREK ALLAN GEDLAMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
734 9TH ST W, SUITE 12, COLUMBIA FALLS, MT 59912-3859
(406) 892-1011
(406) 892-2108
Mailing address
734 9TH ST W, SUITE 12, COLUMBIA FALLS, MT 59912-3859
(406) 892-1011
(406) 892-2108
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10336
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00069734
—
MT
Enumeration date
10/18/2005
Last updated
07/09/2007
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