Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | 5081 | MT |
NPI | 1023010931 |
---|---|
Provider Name | Dr. Jean-Pierre Pujol |
First Address | Helena, MT 59601-3330 |
Second Address | Helena, MT 59601-3330 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2005 |
Last Update Date | 25/07/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A52543 | (02) | MT |