# ACUPUNCTURE CLINIC OF MISSOULA INC.

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

## Provider details

- **NPI number:** 1982723060
- **Authorized official:** DALLAS KEVIN SEABER L.AC. (PRESIDENT)
- **Authorized official phone:** (406) 728-1600

## Contact information

- **Practice address:** 3031 S RUSSELL ST, SUITE 1, MISSOULA, MT 59801-8523
- **Practice address phone:** (406) 728-1600
- **Practice address fax:** (406) 327-6702
- **Mailing address:** 3031 S RUSSELL ST, SUITE 1, MISSOULA, MT 59801-8523
- **Mailing address phone:** (406) 728-1600
- **Mailing address fax:** (406) 327-6702

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | — | — | Yes |

## Other

- **Enumeration date:** 03/28/2007
- **Last updated:** 05/01/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00986-7 | BLUE CROSS BLUE SHIELD | MT |