Individual
BRIAN BALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
770 W RESERVE DR STE 3, KALISPELL, MT 59901-2158
(406) 300-4511
Mailing address
505 8TH ST W, COLUMBIA FALLS, MT 59912-3842
(406) 471-6695
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NUR-APRN-LIC-236621
MT
Other
Enumeration date
05/08/2024
Last updated
06/28/2024
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