Organization
BIOME GROUP HEALTH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARISSA COLLEEN CAVALIER ND (CO-OWNER)
(480) 628-3002
Entity
Organization
Contact information
Practice address
2831 FORT MISSOULA RD. BLDG. 2, STE. 203, MISSOULA, MT 59804-7479
(480) 628-3002
Mailing address
PO BOX 9352, MISSOULA, MT 59807-9352
(406) 544-6214
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/07/2021
Last updated
07/07/2021
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