Basic Information
Provider Information
NPI: 1992021034
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CURTIS
FirstName: ANDREW
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 1155
Address2:  
City: BILLINGS
State: MT
PostalCode: 591031155
CountryCode: US
TelephoneNumber: 4062483290
FaxNumber:  
Practice Location
Address1: 2800 10TH AVE N
Address2:  
City: BILLINGS
State: MT
PostalCode: 59101
CountryCode: US
TelephoneNumber: 4062382500
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/14/2010
LastUpdateDate: 01/29/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 01/29/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000XMD2014-0308NMY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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