Samantha J Short, PAC
Physician Assistant, Surgical in Kalispell, MT. Individual provider (NPI-1).
NPI number1710084751
StatusActive
Last updated in NPPESNov 27, 2023
Details
- NPI
- 1710084751
- Entity type
- Individual (NPI-1)
- Name
- Samantha J Short
- Credential
- PAC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 20, 2006
- Certification date
- Jun 26, 2020
- Last updated
- Nov 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | 18798 | MT | Yes |
Practice location
350 Heritage WaySuite 2100
Kalispell, MT 59901-3158
Phone 406-257-8992 · Fax 406-257-8996
Mailing address
350 Heritage WaySuite 2100
Kalispell, MT 59901-3158
Phone 406-257-8992 · Fax 406-257-8996
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Other Surgical Physician Assistant providers in Kalispell, MT
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- Timothy J Devries, PACNPI 1487644597
- Jeffrey L Dukeman, PA-CNPI 1851402549
- Brianne Peltz, PANPI 1437243763
- Tracy Edward Rogers, PA-CNPI 1245341874
- Steven Craig Trimble, PA-CNPI 1053422626
All 7 Surgical Physician Assistant providers in Kalispell · All 2,256 providers in Kalispell
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