Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 57 | MT |
NPI | 1053320432 |
---|---|
Provider Name | Dr. William C O`reilly |
First Address | Billings, MT 59102-0700 |
Second Address | Billings, MT 59102-0700 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0391183 | (05) | MT |
T89182 | (02) |