NPI 1336124288
Bill J Tacke, MD
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
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.