Individual
JOHN MICHAEL DRISCOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 S CLARK ST, BUTTE, MT 59701-2328
(406) 723-2570
Mailing address
805 W BROADWAY ST, BUTTE, MT 59701-9035
(406) 723-2570
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
3661
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018700
—
MT
Enumeration date
08/17/2006
Last updated
11/01/2007
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