Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DOMINICK PETER TRIVISONNO, MD
ActiveDOMINICK PETER TRIVISONNO, MD is a General Practice healthcare provider located in BAKER, Montana. NPI 1235303801 is currently active in the NPPES registry. Verify at CMS.
General Practice · BAKER, MT
Registration Details
- NPI Number
- 1235303801
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 15, 2008 (18.305796901023 yrs)
- Last Updated
- Jan 30, 2012
- Licenses
-
173465 (NY)11857 (MT)
Practice Information
- Address
-
202 SOUTH 4TH STREET WESTBAKER, MT, 593131119Browse MT providers · Browse ZIP 59313
- Phone
- 4067782833
- Fax
- 4067785131
- Primary Specialty
-
General Practice
208D00000X
- Additional Specialty
- General Practice
Other General Practice Providers in BAKER, MT
| Name | Credential | NPI |
|---|---|---|
| DARRYL M ESPELAND | DO | 1093745572 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.