Individual
DR. JEROME DUNST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6 13TH AVE E, POLSON, MT 59860-5315
(406) 883-8401
(406) 883-8244
Mailing address
7 A AVE APT 21, POLSON, MT 59860-4075
(406) 883-0849
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4502
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4502
STATE LICENSE NUMBER
MT
Enumeration date
01/03/2007
Last updated
07/08/2007
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