Doctor Name: | DR. ROLAND SWEATMAN |
NPI Number: | 1497012009 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 4232 |
Business Practice Address: | 1410 Stanley St Missoula, MT - 598023312 |
Business Phone Number: | 4067210115 |
Business Fax Number: | |
Mailing Address: | 255 Swamp Creek Loop Road, TROUT CREEK |
State: | MT |
Postal Code: | 598749552 |
Phone Number: | 4068278787 |
Fax Number: | |
NPI Enumeration Date: | 04/19/2012 |
NPI Last Update Date: | 07/10/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 4232 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |