Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 11697 | MT |
NPI | 1235194200 |
---|---|
Provider Name | Thomas E. Scarborough |
First Address | Billings, MT 59101-7515 |
Second Address | Billings, MT 59101-7515 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2006 |
Last Update Date | 19/01/2021 |