Individual
DOUGLAS A. WHITEHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
2825 8TH AVE N, BILLINGS, MT 59101-0909
(406) 238-2500
Mailing address
PO BOX 35100, BILLINGS, MT 59107-5100
(406) 238-2500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
353
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000095313
BCBS PIN
MT
01
—
119700200
MDCD PIN
WY
01
—
4302311
MDCD PIN
MT
Enumeration date
09/13/2006
Last updated
05/19/2008
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