AUGUST DENICCO MD
Individual Provider (NPI-1)
Active
Anesthesiology
Provider Information
- NPI Number
1013234665- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 2825 STOCKYARD RD STE I-200, MISSOULA, MT, 598081548
- Phone
- (406) 728-8420
- Fax
- (406) 541-8430
Specialties & Taxonomies
Anesthesiology
License: CO #DR0053632
Internal Medicine
License: PA #MT196857
Anesthesiology
Primary License: MT #MED-PHYS-LIC-60262