Provider Demographics
NPI:1023054640
Name:ROHRER, DAVID A (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:A
Last Name:ROHRER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:400 13TH AVE S
Mailing Address - Street 2:SUITE 101
Mailing Address - City:GREAT FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59405-4300
Mailing Address - Country:US
Mailing Address - Phone:406-771-8411
Mailing Address - Fax:406-452-3262
Practice Address - Street 1:2900 N I 35 STE 205
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-5144
Practice Address - Country:US
Practice Address - Phone:940-898-7182
Practice Address - Fax:940-898-7370
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-21
Last Update Date:2022-06-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MT7736174400000X
TXQ7265174400000X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX370548501Medicaid
MT0011453Medicaid
MT0011453Medicaid