Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 6386 | MT |
NPI | 1114928090 |
---|---|
Provider Name | Steven P Akre |
First Address | Great Falls, MT 59405-5353 |
Second Address | Great Falls, MT 59405-5353 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/08/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0079716 | (05) | MT |
D48359 | (02) |