Provider Demographics
NPI:1942061601
Name:CAMARET, NATHANIEL S (MD)
Entity Type:Individual
Prefix:
First Name:NATHANIEL
Middle Name:S
Last Name:CAMARET
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:61 COW TRL
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:MT
Mailing Address - Zip Code:59047-8828
Mailing Address - Country:US
Mailing Address - Phone:406-439-1674
Mailing Address - Fax:
Practice Address - Street 1:DAVID GRANT MEDICAL CENTER, FAMILY MEDICINE
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CA
Practice Address - Zip Code:94533
Practice Address - Country:US
Practice Address - Phone:707-423-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-19
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program