Doctor Name: | ROBERT MICHAEL ST. JOHN |
NPI Number: | 1114169836 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 3194 |
Business Practice Address: | 2500 Continental Drive Montana Chemical Dependency Center Butte, MT - 597010000 |
Business Phone Number: | 4064965400 |
Business Fax Number: | 4064965437 |
Mailing Address: | 2500 Continental Drive, Montana Chemical Dependency Center BUTTE |
State: | MT |
Postal Code: | 597010000 |
Phone Number: | 4064965400 |
Fax Number: | 4064965437 |
NPI Enumeration Date: | 03/26/2009 |
NPI Last Update Date: | 03/26/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VX0000X |
License Number: | 3194 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Obstetrics |
Taxonomy Definition: |