IndividualActive
Dominick Trivisonno, MD
NPI 1235303801 · General Practice Physician · Baker, MT
Provider details
- NPI number
- 1235303801
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 173465 (NY)
Practice location
202 South 4th Street West
Baker, MT 59313-1119
Phone: (406) 778-2833
Fax: (406) 778-5131
Mailing address
Po Box 1119
Baker, MT 59313-1119
Registry dates
- Enumerated
- 2008-04-15
- Last updated
- 2012-01-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.