person
Dominick Peter Trivisonno, MD
General Practice Physician in Baker, Montana
NPI 1235303801

Dominick Peter Trivisonno is a General Practice Physician based in Baker, MT. Dominick Peter Trivisonno practices in Baker, MT and has the professional credentials of MD. The NPI Number for Dominick Peter Trivisonno is 1235303801 and holds a License No. 173465 (Montana).

The current practice location address for Dominick Peter Trivisonno is 202 South 4Th Street West, Baker, MT and can be reached out via phone at 406-778-2833 and via fax at 406-778-5131.

Location: 202 South 4Th Street West, Baker, MT, 59313-1119
person
Provider Profile Details
NPI Number
1235303801
Provider Name
Dominick Peter Trivisonno
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
202 South 4Th Street West, Baker, MT, 59313-1119
Phone Number
406-778-2833
Fax Number
406-778-5131
Provider Enumeration Date
04/15/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
202 South 4Th Street West
City
State
Zip
59313-1119
Phone Number
406-778-2833
Fax Number
406-778-5131
person
Provider Business Mailing Address Details
Address
202 South 4Th Street West
City
State
Zip
59313-1119
Phone Number
406-778-2833
Fax Number
406-778-5131
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
173465 (New York)
Definition
Definition to come...
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