Individual provider · Type 1 NPI
Dominick Peter Trivisonno, MD
General Practice Physician · Baker, MT
NPI number
1235303801
Active
Practice location
202 South 4th Street West
Baker, MT 59313-1119
Fax (406) 778-5131
Mailing address
PO Box 1119
Baker, MT 59313-1119
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 173465 (NY) |
| General Practice Physician | 208D00000X | 11857 (MT) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
11 other providers at this address
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- Fallon Medical Complex IncCritical Access Hospital Baker, MT NPI 1316965346
- Fallon Medical Complex IncCritical Access Hospital Clinic/Center Baker, MT NPI 1386700763
- Fallon Medical Complex IncNursing Facility Supplies (DME) Baker, MT NPI 1689894800
- Fallon Medical Complex IncRural Health Clinic/Center Baker, MT NPI 1700895752
- Fallon Medical Complex, IncOccupational Medicine Clinic/Center Baker, MT NPI 1194881698
- Fallon Medical Complex, IncPhysical Therapy Clinic/Center Baker, MT NPI 1861558330
- Darryl M. Espeland, DOGeneral Practice Physician Baker, MT NPI 1093745572
Other general practice physician providers in Baker
About NPI 1235303801
Dominick Peter Trivisonno, MD's National Provider Identifier is 1235303801, issued on Apr 15, 2008. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Baker, MT. The record was last updated on Jan 30, 2012.