Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 11225 | MT |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | MD202201 | OR |
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 11225 | MT |
NPI | 1417025206 |
---|---|
Provider Name | Matthew E Wolpoe |
First Address | Billings, MT 59106-9682 |
Second Address | Bozeman, MT 59718-4184 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/12/2006 |
Last Update Date | 03/01/2022 |