Organization · NPI-2

Kristin A Rauch MD PC

Obstetrics & Gynecology, Gynecology · Missoula, MT

NPI number1861677981
StatusActive
Last updated in NPPESMay 25, 2012

Details

NPI
1861677981
Entity type
Organization (NPI-2)
Legal business name
Kristin A Rauch MD PC
Organization subpart
No
Enumeration date
Jan 8, 2008
Last updated
May 25, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207VG0400X Obstetrics & Gynecology, Gynecology6338MTYes

Practice location

2825 Fort Missoula Rd
115
Missoula, MT 59804-7420

Phone 406-728-4292 · Fax 406-728-5770

Mailing address

2825 Fort Missoula Rd
115
Missoula, MT 59804-7420

Phone 406-728-4292 · Fax 406-728-5770

Authorized official

Kristin A Rauch
President
4067284292

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