Individual
STEPHANIE K EASTBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
320 SUNNYVIEW LN, KALISPELL, MT 59901-3129
(406) 752-7441
(406) 257-0304
Mailing address
320 SUNNYVIEW LN, KALISPELL, MT 59901-3129
(406) 752-7441
(406) 257-0304
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
99517
MT
Other
Enumeration date
06/30/2021
Last updated
06/30/2021
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