Provider Demographics
NPI:1053320432
Name:OREILLY, WILLIAM C (DPM)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:C
Last Name:OREILLY
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1690 RIMROCK RD
Mailing Address - Street 2:SUITE L
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102-0700
Mailing Address - Country:US
Mailing Address - Phone:406-256-0077
Mailing Address - Fax:406-294-0967
Practice Address - Street 1:1690 RIMROCK RD
Practice Address - Street 2:SUITE L
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-0700
Practice Address - Country:US
Practice Address - Phone:406-256-0077
Practice Address - Fax:406-294-0967
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT57213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0391183Medicaid
MT0391183Medicaid