Individual
MS. THERESA STARKS ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PBT(ASCP)
Contact information
Practice address
1201 CENTRAL AVE, GREAT FALLS, MT 59401-3775
(406) 454-3247
(406) 454-0718
Mailing address
1201 CENTRAL AVE, GREAT FALLS, MT 59401-3775
(406) 454-3247
(406) 454-0718
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
247200000X
Other Technician
457
MT
Other
Enumeration date
03/09/2011
Last updated
03/09/2011
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