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Search › Montana › General Practice Physician

Dominick Trivisonno, MD

NPI 1235303801 · on the registry since 2008

Practice

Address
202 South 4th Street West
Baker, MT 59313
Phone
(406) 778-2833
Fax
(406) 778-5131
Organisation at this address
Fallon Medical Complex Inc
Fallon Medical Complex Inc
Fallon Medical Complex Inc
Fallon Medical Complex Inc
Fallon Medical Complex Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
9

Registry record

Primary taxonomy
General Practice Physician
208D00000X
Also registered as
General Practice Physician
Licence states on file
NY, MT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-01-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Montana