Provider Demographics
NPI:1790852119
Name:CARVEY, DIANNA MICHELLE (DO)
Entity Type:Individual
Prefix:DR
First Name:DIANNA
Middle Name:MICHELLE
Last Name:CARVEY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:DIANNA
Other - Middle Name:MICHELLE
Other - Last Name:CHASE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 1640
Mailing Address - Street 2:
Mailing Address - City:EUREKA
Mailing Address - State:MT
Mailing Address - Zip Code:59917-1640
Mailing Address - Country:US
Mailing Address - Phone:406-297-3266
Mailing Address - Fax:
Practice Address - Street 1:49 FRONT STREET
Practice Address - Street 2:
Practice Address - City:EUREKA
Practice Address - State:MT
Practice Address - Zip Code:59917
Practice Address - Country:US
Practice Address - Phone:406-297-3266
Practice Address - Fax:406-296-4425
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT21427207Q00000X
MO2009001737207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine