Facts
- Status
- A
- Type
- Organization
- Enumeration date
- 2012-10-12
- Last updated
- 2013-07-24
Specialties
Licenses
The registry row did not include a license.
Location
- Practice location
- 417 MAIN ST SW
- City
- RONAN MT
- Postal code
- 598642738
- Phone
- 406-676-8921
Organization contact
- Name
- MARCUS SIMONICH
- Title
- Owner/Doctor
- Phone
- 4066768921
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
The OIG NPI list is not in this build yet. Confirm on OIG's search.
Nearby
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.