Garold Dean Spire Jr., M.D.
Individual provider Active NPI Family Medicine Physician · Lame Deer, MT
NPI 1467528596 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1467528596
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 22482 (AZ)
- Practice address
- 100 North Cheyenne Ave
Lame Deer, MT 59043-0070 - Phone
- (406) 477-4400
- NPI assigned
- Nov 28, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22482 | AZ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| US Dept of HHS | Family Medicine | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 22482 | AZ | Yes |
Addresses
Primary practice location
100 North Cheyenne Ave
Lame Deer, MT 59043-0070
Mailing address
PO Box 70
Lame Deer, MT 59043-0070
Phone (406) 477-4400
Other providers in Lame Deer, MT
- Richard Schlattmann
- Angela Sioux
- Anita Rae Small
- Steven Bradley Sonntag
- Alan Spang
- Kimberly Dawn Studiner
- Cheyenne Tallbull
- Michelle Leah Thex
- Kayla A Thomas
- Joyce Three Fingers
All providers in Lame Deer, MT · Family Medicine Physician in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.