Provider Demographics
NPI:1255978748
Name:DAVID, CADY CHRISTINE (PA)
Entity type:Individual
Prefix:
First Name:CADY
Middle Name:CHRISTINE
Last Name:DAVID
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2900 12TH AVE N STE 160W
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101-7508
Mailing Address - Country:US
Mailing Address - Phone:406-237-5400
Mailing Address - Fax:406-237-5411
Practice Address - Street 1:2900 12TH AVE N STE 160W
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-7508
Practice Address - Country:US
Practice Address - Phone:406-237-5400
Practice Address - Fax:406-237-5411
Is Sole Proprietor?:No
Enumeration Date:2019-12-04
Last Update Date:2022-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTMED-PAC-LIC-80603363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant