Basic Information
| Provider Information | |||||||||
| NPI: | 1194924621 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | FURBER | ||||||||
| FirstName: | MATT | ||||||||
| MiddleName: | T | ||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | PA-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2900 12TH AVE N STE 265W | ||||||||
| Address2: | |||||||||
| City: | BILLINGS | ||||||||
| State: | MT | ||||||||
| PostalCode: | 591017501 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4062377999 | ||||||||
| FaxNumber: | 4062377990 | ||||||||
| Practice Location | |||||||||
| Address1: | 2900 12TH AVE N STE 265W | ||||||||
| Address2: | |||||||||
| City: | BILLINGS | ||||||||
| State: | MT | ||||||||
| PostalCode: | 591017501 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4062377999 | ||||||||
| FaxNumber: | 4062377990 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/14/2007 | ||||||||
| LastUpdateDate: | 10/26/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363A00000X | 30875 | MT | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant |
No ID Information.