Doctor Name: | DR. PHILIP GLENN TALLMAN |
NPI Number: | 1760485619 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 8066 |
Business Practice Address: | 2294 Grant Rd Billings, MT - 591027423 |
Business Phone Number: | 4062949515 |
Business Fax Number: | 4062949520 |
Mailing Address: | 2294 Grant Rd, BILLINGS |
State: | MT |
Postal Code: | 591027423 |
Phone Number: | 4062949515 |
Fax Number: | 4062949520 |
NPI Enumeration Date: | 05/24/2005 |
NPI Last Update Date: | 02/15/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 03/16/2006 |
NPI Reactivation Date: | 03/23/2006 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 8066 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |