Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 328 | MT |
NPI | 1063571396 |
---|---|
Provider Name | Donald D. Garvin |
First Address | Billings, MT 59105-3359 |
Second Address | Billings, MT 59105-3359 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/12/2006 |
Last Update Date | 08/07/2007 |