Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | 94569 | MT |
NPI | 1255625778 |
---|---|
Provider Name | Dr. Maya Eladia Sanchez-Rotunno |
First Address | Glasgow, MT 59230-2600 |
Second Address | Glasgow, MT 59230-2600 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2011 |
Last Update Date | 17/05/2021 |