Provider Demographics
NPI:1982163812
Name:NOLD, TROY RAYMOND (MD)
Entity Type:Individual
Prefix:DR
First Name:TROY
Middle Name:RAYMOND
Last Name:NOLD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1 AVERY ST APT 14E
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02111-1024
Mailing Address - Country:US
Mailing Address - Phone:540-397-2520
Mailing Address - Fax:617-830-7226
Practice Address - Street 1:1101 E MAIN ST STE 201
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59715-3956
Practice Address - Country:US
Practice Address - Phone:406-582-5300
Practice Address - Fax:617-830-7226
Is Sole Proprietor?:No
Enumeration Date:2019-03-19
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MT1306122084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry