# NORTHERN PLAINS PATHOLOGISTS, PC

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

## Provider details

- **NPI number:** 1669597266
- **Authorized official:** BRENTON A MEDA M.D. (CHAIRMAN)
- **Authorized official phone:** (406) 455-2021

## Contact information

- **Practice address:** 500 15TH AVE S, GREAT FALLS, MT 59405-4324
- **Practice address phone:** (406) 455-2021
- **Practice address fax:** (406) 455-2126
- **Mailing address:** 500 15TH AVE S, GREAT FALLS, MT 59405-4324
- **Mailing address phone:** (406) 455-2021
- **Mailing address fax:** (406) 455-2126

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | NULL | Yes |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/20/2007
- **Last updated:** 01/09/2008