# DOCTOR CARLA LLC

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

## Provider details

- **NPI number:** 1487411211
- **Authorized official:** CARLA ELAINE DAVIS MD (OWNER)
- **Authorized official phone:** (406) 880-4831

## Contact information

- **Practice address:** 315 TREMONT ST, MISSOULA, MT 59801-4050
- **Practice address phone:** (406) 880-4831
- **Mailing address:** 315 TREMONT ST, MISSOULA, MT 59801-4050

## Taxonomy

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

## Other

- **Enumeration date:** 02/28/2024
- **Last updated:** 02/28/2024