Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | 52577 | MT |
NPI | 1326026048 |
---|---|
Provider Name | Alan Michael Rice |
First Address | Kalispell, MT 59901-2618 |
Second Address | Kalispell, MT 59901-2618 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/01/2006 |
Last Update Date | 27/06/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
002018115 | (05) | NV |
003102015 | (05) | NV |
003109672A | (05) | GA |
003109672B | (05) | GA |
01457575 | AMERIGROUP (01) | GA |
182541 | WELLCARE (01) | GA |
G51513 | (02) | |
P00936357 | RR MEDICARE (01) | GA |
Q00956 | (05) | SC |