Dominick Peter Trivisonno, MD

NPI #1235303801 in Baker, Montana

Provider Information

NPI Number
1235303801
Entity Type
Individual
Name
Dominick Peter Trivisonno, MD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
General Practice
Credential
MD
Enumeration Date
Apr 15, 2008
Last Updated
Jan 30, 2012

Practice Location

Address
202 SOUTH 4TH STREET WEST
City
Baker
State
Montana
ZIP Code
59313-1119
Phone
(406) 778-2833

Specialties & Taxonomy Codes

Specialty
General Practice

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