Provider Demographics
NPI:1811980832
Name:SACCOCCIA, PHILIP JR (MD)
Entity type:Individual
Prefix:
First Name:PHILIP
Middle Name:
Last Name:SACCOCCIA
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1234 SPRINGHILL SCHOOL RD
Mailing Address - Street 2:
Mailing Address - City:BELGRADE
Mailing Address - State:MT
Mailing Address - Zip Code:59714-8476
Mailing Address - Country:US
Mailing Address - Phone:406-587-1711
Mailing Address - Fax:815-550-2485
Practice Address - Street 1:1234 SPRINGHILL SCHOOL RD
Practice Address - Street 2:
Practice Address - City:BELGRADE
Practice Address - State:MT
Practice Address - Zip Code:59714-8476
Practice Address - Country:US
Practice Address - Phone:406-587-1711
Practice Address - Fax:815-550-2485
Is Sole Proprietor?:No
Enumeration Date:2005-08-24
Last Update Date:2025-05-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MT4123207ZP0102X
MS08594207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology