Individual
PATRICK ROBERT DANAHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2835 FORT MISSOULA RD, SUITE 102, MISSOULA, MT 59804-7423
(406) 728-8420
Mailing address
PO BOX 17377, MISSOULA, MT 59808-7377
(406) 728-8420
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
10695
MT
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
10695
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0087176
—
MT
05
—
807048100
—
ID
Enumeration date
10/20/2005
Last updated
09/28/2012
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