Provider Demographics
NPI:1750727152
Name:LINAM, JUSTIN M (MD)
Entity type:Individual
Prefix:DR
First Name:JUSTIN
Middle Name:M
Last Name:LINAM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:343 SUNNYVIEW LN
Mailing Address - Street 2:
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901-3156
Mailing Address - Country:US
Mailing Address - Phone:406-752-1790
Mailing Address - Fax:406-756-3529
Practice Address - Street 1:343 SUNNYVIEW LN
Practice Address - Street 2:
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-3156
Practice Address - Country:US
Practice Address - Phone:406-752-1790
Practice Address - Fax:406-756-3529
Is Sole Proprietor?:No
Enumeration Date:2013-05-13
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
390200000X
MT540662085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program