Theron Small

NPI #1972300366 in Box Elder, Montana

Provider Information

NPI Number: 1972300366
Entity Type: Individual
Name: Theron Small
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Feb 25, 2025
Last Updated: Feb 25, 2025

Practice Location

Address: ROCKY BOY HEALTH CENTER
Address 2: 6850 UPPER BOX ELDER RD
City: Box Elder
State: Montana
ZIP Code: 59521
Phone: (406) 395-4486

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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