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Organization
FIVE VALLEYS UROLOGY
Active
Organization
FIVE VALLEYS UROLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN TERRY O'CONNOR (PRACTICE ADMINISTRATOR)
(406) 728-3366
Entity
Organization
Contact information
Practice address
2875 TINA, SUITE 101, MISSOULA, MT 59808-1308
(406) 728-3366
(406) 329-2896
Mailing address
2875 TINA AVE, SUITE 101, MISSOULA, MT 59808
(406) 728-3366
(406) 329-2896
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
NULL
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
01/10/2006
Last updated
04/21/2011
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