NPI 1972300366
Theron Small
Practice location
- Address
- Rocky Boy Health Center 6850 Upper Box Elder Rd, Box Elder, MT 59521
- Phone
- (406) 395-4486
- Mailing address
- 2048 Haystack Loop, Box Elder, MT 59521
Registered specialties
Peer Specialist
Primary
Registry record
- NPI
- 1972300366
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 25 Feb 2025
- Record last updated
- 25 Feb 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.