Vondoersten, Peter Gordon

Vondoersten, Peter Gordon is an individual health care provider with primary practice located at 700 W Kent Ave , Missoula MT 59801-6772. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Vondoersten, Peter Gordon can be contacted via phone (406) 541-3277.

Contact Information

Primary practice address
700 W Kent Ave Missoula MT 59801-6772
Phone: (406) 541-3277
Fax: (406) 541-3950
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 8110 Montana

Profile Details

NPI number 1619962990
LBN Legal business name Vondoersten, Peter Gordon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2005
Last updated May 12th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619962990 NPPES
Wyoming MEDICAID 118619100
Wyoming MEDICAID 804154700
Wyoming MEDICAID 0019773

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