Provider Demographics
NPI:1720383813
Name:DANGERFIELD, MAX D (MPAS, PA-C)
Entity Type:Individual
Prefix:
First Name:MAX
Middle Name:D
Last Name:DANGERFIELD
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Gender:M
Credentials:MPAS, PA-C
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Mailing Address - Street 1:1233 N 30TH ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101-0127
Mailing Address - Country:US
Mailing Address - Phone:406-869-5008
Mailing Address - Fax:406-254-9330
Practice Address - Street 1:2525 4TH AVE N
Practice Address - Street 2:SUITE 201
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-1312
Practice Address - Country:US
Practice Address - Phone:406-869-5008
Practice Address - Fax:406-254-9330
Is Sole Proprietor?:No
Enumeration Date:2011-01-20
Last Update Date:2016-10-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MT642363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant