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Organization
MONTANA CARDIOTHORACIC ASSIST
Active
Organization
MONTANA CARDIOTHORACIC ASSIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NORMAN LEE WALKER PA-C (ADMINISTRATOR/ PHYSICIAN ASSISTANT)
(928) 846-5869
Entity
Organization
Contact information
Practice address
306 S MINNESOTA ST, CONRAD, MT 59425-2412
(928) 846-5869
Mailing address
306 S MINNESOTA ST, CONRAD, MT 59425-2412
(928) 846-5869
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MED-PAC-43492
MT
Other
Enumeration date
10/27/2016
Last updated
10/27/2016
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