Basic Information
Provider Information
NPI: 1437532173
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: COMBS
FirstName: MEGHAN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 600 MT HWY 91 S.
Address2:  
City: DILLON
State: MT
PostalCode: 59725
CountryCode: US
TelephoneNumber: 4066833000
FaxNumber: 4066836891
Practice Location
Address1: 600 MT HWY 91 S.
Address2:  
City: DILLON
State: MT
PostalCode: 59725
CountryCode: US
TelephoneNumber: 4066833000
FaxNumber: 4066836891
Other Information
ProviderEnumerationDate: 06/30/2015
LastUpdateDate: 10/21/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/21/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X7603NEN Allopathic & Osteopathic PhysiciansInternal Medicine 
208M00000X63961MTN Allopathic & Osteopathic PhysiciansHospitalist 
207R00000X63961MTY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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