Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 8413 | MT |
NPI | 1760418636 |
---|---|
Provider Name | Michael R Yorgason |
First Address | Billings, MT 59101-7506 |
Second Address | Billings, MT 59101-7506 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2006 |
Last Update Date | 07/01/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0108550 | (05) | MT |
G1393 | (02) |