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Organization
ACUPUNCTURE CLINIC OF MISSOULA INC.
Active
Organization
ACUPUNCTURE CLINIC OF MISSOULA INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DALLAS KEVIN SEABER L.AC. (PRESIDENT)
(406) 728-1600
Entity
Organization
Contact information
Practice address
3031 S RUSSELL ST, SUITE 1, MISSOULA, MT 59801-8523
(406) 728-1600
(406) 327-6702
Mailing address
3031 S RUSSELL ST, SUITE 1, MISSOULA, MT 59801-8523
(406) 728-1600
(406) 327-6702
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00986-7
BLUE CROSS BLUE SHIELD
MT
Enumeration date
03/28/2007
Last updated
05/01/2012
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