Dominick Peter Trivisonno, MD
Dominick Peter Trivisonno, MD is a General Practice Physician in Baker, Montana. Licensed in Montana and New York. Registered with an NPI since 2008.
- Licensed in
- MT, NY
- In the registry since
- 2008
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
202 S 4th St WBaker, MT 59313-1119
Phone: (406) 778-2833
Fax: (406) 778-5131
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X · Licence 173465 (NY) |
|---|---|
| General Practice Physician | Taxonomy 208D00000X · Licence 11857 (MT) |
Record details
| NPI number | 1235303801 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | April 15, 2008 |
| Last updated in NPPES | January 30, 2012 |
| Mailing address | Po Box 1119, Baker, MT 59313-1119 |
Other providers in Baker
-
Darryl M Espeland, DO
202 S 4th St W, Baker, MT 59313-1119 · (406) 778-2833