Individual provider · NPI-1

Maryann Elizabeth Beach, MMS, PA-C

Physician Assistant · Helena, MT

NPI number1083257489
StatusActive
Last updated in NPPESOct 18, 2019

Details

NPI
1083257489
Entity type
Individual (NPI-1)
Name
Maryann Elizabeth Beach
Credential
MMS, PA-C
Sex
Female
Sole proprietor
No
Enumeration date
Oct 18, 2019
Last updated
Oct 18, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician AssistantMED-PAC-LIC-79205MTYes

Practice location

2475 E Broadway St
Helena, MT 59601-4928

Phone 406-442-2480

Mailing address

Po Box 6369
Helena, MT 59604-6369

Phone 406-447-2823

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