Basic Information
| Provider Information | |||||||||
| NPI: | 1790002244 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | WESTMARK | ||||||||
| FirstName: | MATHEW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 123 SOUTH 27TH STREET | ||||||||
| Address2: | RIVERSTONE HEATLH | ||||||||
| City: | BILLINGS | ||||||||
| State: | MT | ||||||||
| PostalCode: | 59101 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4062473306 | ||||||||
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| Practice Location | |||||||||
| Address1: | 123 SOUTH 27TH STREET | ||||||||
| Address2: | RIVERSTONE HEATLH | ||||||||
| City: | BILLINGS | ||||||||
| State: | MT | ||||||||
| PostalCode: | 59101 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4062473306 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/23/2010 | ||||||||
| LastUpdateDate: | 03/18/2014 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 28887 | MT | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.