Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 6078 | MT |
NPI | 1003984303 |
---|---|
Provider Name | Rick Don Neumeister |
First Address | Missoula, MT 59802 |
Second Address | Missoula, MT 59802 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/12/2006 |
Last Update Date | 09/08/2012 |