Provider Demographics
NPI:1528302346
Name:HUNT, JOHN SPENCER (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:SPENCER
Last Name:HUNT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:JOHN
Other - Middle Name:SPENCER
Other - Last Name:HUNT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:93 RUSTY DUCK LN
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59718-9286
Mailing Address - Country:US
Mailing Address - Phone:406-556-0738
Mailing Address - Fax:406-556-0738
Practice Address - Street 1:93 RUSTY DUCK LN
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59718-9286
Practice Address - Country:US
Practice Address - Phone:406-556-0738
Practice Address - Fax:406-556-0738
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-16
Last Update Date:2012-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT9680207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT9680OtherSOCIAL SECURITY NUMBER