IndividualActive
Andre Pennardt, M.D.
NPI 1174502280 · Emergency Medicine Physician · Anaconda, MT
Provider details
- NPI number
- 1174502280
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 9900962 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
401 W Pennsylvania Ave
Anaconda, MT 59711-1931
Phone: (406) 563-8585
Approximate (ZIP-level) locationGet directions
Mailing address
401 W Pennsylvania Ave
Anaconda, MT 59711-1931
Registry dates
- Enumerated
- 2006-01-17
- Last updated
- 2016-09-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.