# FUNCTIONAL MEDICINE ASSOCIATES OF MONTANA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104648211
- **Authorized official:** BRITTANY JEAN COBURN NP-C (FAMILY NURSE PRACTITIONER/CO-OWNER)
- **Authorized official phone:** (406) 501-6570

## Contact information

- **Practice address:** 195 COMMONS LOOP STE D, KALISPELL, MT 59901-1912
- **Practice address phone:** (406) 501-6570
- **Mailing address:** 195 COMMONS LOOP STE D, KALISPELL, MT 59901-1912
- **Mailing address phone:** (406) 501-6570

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207RG0100X | Gastroenterology Physician | — | — | — |

## Other

- **Enumeration date:** 10/29/2024
- **Last updated:** 10/29/2024