# MONTANA CARDIOTHORACIC ASSIST

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

## Provider details

- **NPI number:** 1619429511
- **Authorized official:** MR. NORMAN LEE WALKER PA-C (ADMINISTRATOR/ PHYSICIAN ASSISTANT)
- **Authorized official phone:** (928) 846-5869

## Contact information

- **Practice address:** 306 S MINNESOTA ST, CONRAD, MT 59425-2412
- **Practice address phone:** (928) 846-5869
- **Mailing address:** 306 S MINNESOTA ST, CONRAD, MT 59425-2412
- **Mailing address phone:** (928) 846-5869

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | MED-PAC-43492 | MT | Yes |

## Other

- **Enumeration date:** 10/27/2016
- **Last updated:** 10/27/2016