Basic Information
Provider Information
NPI: 1962615377
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ARBOGAST
FirstName: STEVEN
MiddleName: DALE
NamePrefix: DR.
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 35100
Address2:  
City: BILLINGS
State: MT
PostalCode: 591075100
CountryCode: US
TelephoneNumber: 4062382500
FaxNumber:  
Practice Location
Address1: 801 N 29TH ST
Address2:  
City: BILLINGS
State: MT
PostalCode: 591010905
CountryCode: US
TelephoneNumber: 4062382500
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/08/2007
LastUpdateDate: 02/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 02/21/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084N0400X34.008935OHY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology

No ID Information.


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