Whalio Doctors

NPI 1336124288

Bill J Tacke, MD

Practitioner Physical Medicine & Rehabilitation Physician Great Falls, MT

Practice location

Address
500 15th Ave S Suite One, Great Falls, MT 59405-4304
Phone
(406) 455-2149
Fax
(406) 455-2141

Registered specialties

Physical Medicine & Rehabilitation Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 4564 (MT)

Registry record

NPI
1336124288
Entity type
Individual
Sex (as registered)
Male
NPI issued
14 Dec 2005
Record last updated
16 Sep 2013

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.