Epiphany Dermatology of Montana, Pllc

NPI #1902455074 in Butte, Montana

Provider Information

NPI Number: 1902455074
Entity Type: Organization
Organization Name: Epiphany Dermatology of Montana, Pllc
Primary Specialty: Dermatology
Enumeration Date: Sep 10, 2019
Last Updated: Dec 7, 2023

Practice Location

Address: 24 E BROADWAY ST
City: Butte
State: Montana
ZIP Code: 59701-9334
Phone: (406) 723-7272

Authorized Official

Name: GHEORGHE PUSTA
Title: DIRECTOR/MANAGING EMPLOYEE
Phone: (512) 960-5760

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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