NPI 1720083173

Michael C Dicello, MD

Practitioner Allergy & Immunology Physician Bozeman, MT

Practice location

Address: 1188 N 15th Ave STE 3, Bozeman, MT 59715-3290
Phone: (406) 582-1111
Fax: (406) 582-1112

Registered specialties (2)

Allergy & Immunology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207K00000X Licence 11976 (MT)

Other Allergy & Immunology providers in Montana →

Allergy & Immunology Physician

Allopathic & Osteopathic Physicians Taxonomy 207K00000X Licence 42-000-9879 (VT)

Registry record

NPI: 1720083173
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Jun 2005
Record last updated: 28 Jul 2023

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.