NPI:
1073142717
Provider Name:
TOMMIE L PERUSICH, PC
Doing Business As: TOMMIE L. PERUSICH, PMHNP-BC
Classification:
Nurse Practitioner - 363LP0808X
Entity Type:
Organization
Specialization: Psychiatric/Mental Health
Address:
84 OHIO ST
STE 5
BUTTE, MT
ZIP 59701
Phone:
(406) 646-2470
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TOMMIE L PERUSICH, PC is a psychiatric/mental health nurse practitioner in Butte, MT. TOMMIE L PERUSICH, PC NPI is 1073142717. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Tommie L. Perusich, Pmhnp-bc.
The provider's business location address is:
84 OHIO ST
STE 5
BUTTE, MT
ZIP 59701-806
Phone: (406) 646-2470
Fax: (406) 299-3911
The provider's authorized official is Darren A Hoffman .
The authorized official title is General Manager / Billing and has the following contact phone number (406) 646-2470.
The enumeration date for this NPI number is 4/4/2020 and was last updated on 8/15/2023.