Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 19389 | MT |
Y | 213EG0000X | General Practice | 19389 | MT |
NPI | 1003427519 |
---|---|
Provider Name | Victoria Taylor Walling |
First Address | Billings, MT 59102-8626 |
Second Address | Billings, MT 59102-8626 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2020 |
Last Update Date | 10/08/2020 |