Dr. Philip Jaffe, MD
Internal Medicine, Gastroenterology in Kalispell, MT. Individual provider (NPI-1).
NPI number1477534337
StatusActive
Last updated in NPPESNov 27, 2023
Details
- NPI
- 1477534337
- Entity type
- Individual (NPI-1)
- Name
- Dr. Philip Jaffe
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 8, 2005
- Certification date
- Jun 29, 2020
- Last updated
- Nov 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RG0100X | Internal Medicine, Gastroenterology | 42557 | MT | Yes |
| 207RG0100X | Internal Medicine, Gastroenterology | 040315 | CT |
Practice location
320 Sunnyview LnKalispell, MT 59901-3129
Phone 406-752-7441 · Fax 406-257-0304
Mailing address
320 Sunnyview LnKalispell, MT 59901-3129
Phone 406-752-7441 · Fax 406-257-0304
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