Individual provider · NPI-1

Beth Ammons, MD

Family Medicine · Missoula, MT

NPI number1780623926
StatusActive
Last updated in NPPESJun 18, 2013

Details

NPI
1780623926
Entity type
Individual (NPI-1)
Name
Beth Ammons
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Jun 5, 2006
Last updated
Jun 18, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine6894MTYes

Practice location

401 Railroad St W
Missoula, MT 59802-4109

Phone 406-258-4789

Mailing address

323 W Alder St
Missoula, MT 59802-4123

Phone 406-258-4789

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