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NPI 1972300366

IndividualActive

Theron Small

NPI 1972300366 · Peer Specialist · Box Elder, MT

Provider details

NPI number: 1972300366
Entity type: Individual
Primary specialty: Peer SpecialistOther Service Providers
Sex: Male
Sole proprietor: No
License: BBH-BHPS-CRT-39077 (MT)

Practice location

Rocky Boy Health Center

6850 Upper Box Elder Rd

Box Elder, MT 59521

Phone: (406) 395-4486

More MT providers

Mailing address

2048 Haystack Loop

Box Elder, MT 59521

Registry dates

Enumerated: 2025-02-25
Last updated: 2025-02-25

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Theron Small — NPI 1972300366, Box Elder, MT | NPI Central