Western Montana Clinic PC
Clinic/Center, Multi-Specialty in Anaconda, MT. Organization (NPI-2).
NPI number1508033713
StatusActive
Last updated in NPPESMay 15, 2008
Details
- NPI
- 1508033713
- Entity type
- Organization (NPI-2)
- Legal business name
- Western Montana Clinic PC
- Organization subpart
- No
- Enumeration date
- May 15, 2008
- Last updated
- May 15, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | Yes |
Practice location
401 W Pennsylvania StAnaconda, MT 59711-1931
Phone 406-721-5600
Mailing address
Po Box 7609Missoula, MT 59807-7609
Authorized official
Joyce E Stevens
Director
4067215600
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