NPI 1134786064
Derek Jagger Buddie-Damon
Practice location
- Address
- 54699 Hillside Rd, Saint Ignatius, MT 59865-8915
- Phone
- (406) 274-0845
- Fax
- (406) 204-3238
- Mailing address
- PO Box 210, Saint Ignatius, MT 59865-0210
Registered specialties
Behavior Analyst
Primary
Registry record
- NPI
- 1134786064
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 27 May 2019
- Record last updated
- 27 May 2019
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.