Organization
INTEGRA IMAGING PS - MT
Active
Organization
INTEGRA IMAGING PS - MT
Active
Parent organization
INTEGRA IMAGING PS
Organization subpart
Yes
Provider details
NPI number
Legal business name
INTEGRA IMAGING PS
Authorized official
SARAH RUSSELL (COO)
(509) 747-4455
Entity
Organization
Contact information
Practice address
2419 MULLAN RD, D, MISSOULA, MT 59808-1856
(509) 747-4455
Mailing address
801 S STEVENS ST, SPOKANE, WA 99204-2654
(509) 747-4455
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
MT
Other
Enumeration date
09/08/2016
Last updated
09/08/2016
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