Tia Bakker
Student in an Organized Health Care Education/Training Program in Bigfork, MT(View on Map)
Full Name
Tia Bakker
NPI Number
1003549478
NPI Type
Individual Provider
Gender
Female
Enumeration Date
07/05/2022
Specialties
(Taxonomies)Code
390200000X
Primary Taxonomy
Yes
Contact
Information
Purpose
Mailing
Location
Address
248 SHERMAN LN
248 SHERMAN LN
City
Bigfork
Bigfork
State
MT
MT
Postal Code
59911-6057
59911-6057
Country
US
US
Telephone Number
(406) 260-1072
(406) 260-1072
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/05/2022
Provider Address
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Kyle Bagnell
Bigfork, MTSpecialties: Dentist (Primary)Student in an Organized Health Care Education/Training Program