NPI 1023696218

Jordan McLaine Icenoggle, MD

Practitioner Obstetrics & Gynecology Physician Hamilton, MT

Practice location

Address: 1200 Westwood Dr STE G, Hamilton, MT 59840-2345
Phone: (406) 375-4777
Fax: (406) 375-4778
Mailing address: 1224 W Main St, Hamilton, MT 59840-2338

Registered specialties

Obstetrics & Gynecology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence MED-PHYS-LIC-148113 (MT)

Other Obstetrics & Gynecology providers in Montana →

Registry record

NPI: 1023696218
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Mar 2021
Record last updated: 3 Oct 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.