Individual
THERON SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
ROCKY BOY HEALTH CENTER, 6850 UPPER BOX ELDER RD, BOX ELDER, MT 59521
(406) 395-4486
Mailing address
2048 HAYSTACK LOOP, BOX ELDER, MT 59521
(406) 399-3512
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
BBH-BHPS-CRT-39077
MT
Other
Enumeration date
02/25/2025
Last updated
02/25/2025
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