Organization
CHILDREN'S NEUROLOGY CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD JAMES WIGHT MD (PHYSICAN/PRESIDENT)
(406) 444-2288
Entity
Organization
Contact information
Practice address
2475 E BROADWAY ST, HELENA, MT 59601-4928
(406) 444-2288
(406) 444-2163
Mailing address
2475 E BROADWAY ST, HELENA, MT 59601-4928
(406) 444-2288
(406) 444-2163
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
6989
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002981
BLUE CROS BLUE SHIELD
MT
05
—
0093938
—
MT
Enumeration date
06/06/2008
Last updated
06/06/2008
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