# MERCURY STREET MEDICAL GROUP PLLC

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

## Provider details

- **NPI number:** 1619054681
- **Authorized official:** MR. SCOTT G BUTLER (ADMINISTRATOR)
- **Authorized official phone:** (406) 723-1300

## Contact information

- **Practice address:** 300 W MERCURY ST, BUTTE, MT 59701-1652
- **Practice address phone:** (406) 723-1300
- **Practice address fax:** (406) 723-1335
- **Mailing address:** 300 W MERCURY ST, BUTTE, MT 59701-1652
- **Mailing address phone:** (406) 723-1300
- **Mailing address fax:** (406) 723-1335

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 1074257 | MT | Yes |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 05/18/2012