Individual
MADISON MCCARTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2470 PEREGRINE LOOP, MISSOULA, MT 59808-5812
(407) 542-7015
Mailing address
2470 PEREGRINE LOOP, MISSOULA, MT 59808-5812
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
390200000
MT
Other
Enumeration date
01/27/2017
Last updated
01/27/2017
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