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Organization
DR. BEVERLY L. BRAAK, P.C.
Active
Organization
DR. BEVERLY L. BRAAK, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BEVERLY LYNN BRAAK M.D. (OWNER)
(406) 327-3875
Entity
Organization
Contact information
Practice address
2831 FORT MISSOULA RD BLDG 2, SUITE 203, MISSOULA, MT 59804-7419
(406) 327-3875
(406) 327-3876
Mailing address
2831 FORT MISSOULA RD BLDG 2, SUITE 203, MISSOULA, MT 59804-7419
(406) 327-3875
(406) 327-3876
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
11310
MT
Other
Enumeration date
03/19/2009
Last updated
03/19/2009
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