Provider Demographics
NPI:1427039064
Name:MCGREE, PATRICK J (MD)
Entity Type:Individual
Prefix:
First Name:PATRICK
Middle Name:J
Last Name:MCGREE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:PATRICK
Other - Middle Name:J
Other - Last Name:MCGREE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:225 S CLARK ST
Mailing Address - Street 2:
Mailing Address - City:BUTTE
Mailing Address - State:MT
Mailing Address - Zip Code:59701-1515
Mailing Address - Country:US
Mailing Address - Phone:406-782-2239
Mailing Address - Fax:406-782-4634
Practice Address - Street 1:225 S CLARK ST
Practice Address - Street 2:
Practice Address - City:BUTTE
Practice Address - State:MT
Practice Address - Zip Code:59701-1515
Practice Address - Country:US
Practice Address - Phone:406-782-2239
Practice Address - Fax:406-782-4634
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-10
Last Update Date:2008-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT5210207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0045825Medicaid
MT0045825Medicaid