Doctor Name: | TERRANCE J SWEENEY |
NPI Number: | 1265433114 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 5351 |
Business Practice Address: | 1400 29th St S Great Falls, MT - 594055353 |
Business Phone Number: | 4064542171 |
Business Fax Number: | 4067713021 |
Mailing Address: | 1400 29th St S, GREAT FALLS |
State: | MT |
Postal Code: | 594055353 |
Phone Number: | 4064542171 |
Fax Number: | 4067713021 |
NPI Enumeration Date: | 08/02/2005 |
NPI Last Update Date: | 08/16/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 5351 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |