Individual
MARYANN ELIZABETH BEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MMS, PA-C
Contact information
Practice address
2475 E BROADWAY ST, HELENA, MT 59601-4928
(406) 442-2480
Mailing address
PO BOX 6369, HELENA, MT 59604-6369
(406) 447-2823
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MED-PAC-LIC-79205
MT
Other
Enumeration date
10/18/2019
Last updated
10/18/2019
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