Doctor Name: | BROOKE WILLIAMSON EVEREST |
NPI Number: | 1205058591 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MT |
License Number: | 1344 |
Business Practice Address: | Rr1 Box 67 Harlem, MT - 59526 |
Business Phone Number: | 4063533100 |
Business Fax Number: | 4063533229 |
Mailing Address: | 15818 Skunk Crk Rd, BOZEMAN |
State: | MT |
Postal Code: | 59715 |
Phone Number: | 4066864878 |
Fax Number: | |
NPI Enumeration Date: | 05/03/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246QM0706X |
License Number: | 1344 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Spec/Tech, Pathology |
Taxonomy Specialization: | Medical Technologist |
Taxonomy Definition: |