Provider Demographics
NPI:1548685027
Name:ROBERT A. CLARY D.O. PC
Entity type:Organization
Organization Name:ROBERT A. CLARY D.O. PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:A
Authorized Official - Last Name:CLARY
Authorized Official - Suffix:
Authorized Official - Credentials:DO PC
Authorized Official - Phone:406-424-8800
Mailing Address - Street 1:222 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SHELBY
Mailing Address - State:MT
Mailing Address - Zip Code:59474-1910
Mailing Address - Country:US
Mailing Address - Phone:406-424-8800
Mailing Address - Fax:406-424-8866
Practice Address - Street 1:222 MAIN ST
Practice Address - Street 2:
Practice Address - City:SHELBY
Practice Address - State:MT
Practice Address - Zip Code:59474-1910
Practice Address - Country:US
Practice Address - Phone:406-424-8800
Practice Address - Fax:406-424-8866
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-20
Last Update Date:2014-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty