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Organization
MISSOULA FAMILY MEDICAL CENTER, LLC
Active
Organization
MISSOULA FAMILY MEDICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL ROBERT PRIDDY M.D. (PARTNER)
(406) 728-3111
Entity
Organization
Contact information
Practice address
621 W ALDER ST, MISSOULA, MT 59802-4014
(406) 728-3111
(406) 728-3116
Mailing address
621 W ALDER ST, MISSOULA, MT 59802-4014
(406) 728-3111
(406) 728-3116
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4963
MT
Other
Enumeration date
08/10/2006
Last updated
04/19/2010
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