NPI 1548243439 · live from the CMS NPI Registry
Jon R Gildea, DO
Emergency Medicine, Emergency Medical Services in Missoula, MT. National Provider Identifier 1548243439, active.
NPI record
| NPI | 1548243439 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Emergency Medicine, Emergency Medical Services 207PE0004X |
| Practice location | 2946 Starlight Drive, Missoula, MT 59803 |
| Practice phone | 406-240-2148 |
| Mailing address | Dept Ch 17767, Palatine, IL 60055 |
| Enumerated | November 23, 2005 |
| Last updated | March 8, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Medicine | 207P00000X | 5101014660 (MI) |
| Emergency Medicine, Emergency Medical Services | 207PE0004X | 5101014660 (MI) |
| Emergency Medicine, Emergency Medical Services primary | 207PE0004X | 10620 (MT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.