# MONTANA LASER AND MEDICAL CENTER, PLLC

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

## Provider details

- **NPI number:** 1992253074
- **Authorized official:** DR. JASON ROUNTREE DC (OWNER)
- **Authorized official phone:** (406) 314-6400

## Contact information

- **Practice address:** 1327 US HIGHWAY 2 W STE 2, KALISPELL, MT 59901-3413
- **Practice address phone:** (406) 314-6400
- **Practice address fax:** (406) 314-6401
- **Mailing address:** 1327 US HIGHWAY 2 W STE 2, KALISPELL, MT 59901-3413
- **Mailing address phone:** (406) 314-6400
- **Mailing address fax:** (406) 314-6401

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | CHI-CHI-LIC-1242 | MT | — |
| 208D00000X | General Practice Physician | NUR-APRN-LIC-127106 | MT | — |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/16/2016
- **Last updated:** 10/17/2023