Organization
GRIZZLY SPINE PAIN AND REHAB, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT RICHARD JAHNKE DO (DOCTOR - OWNER)
(406) 755-4488
Entity
Organization
Contact information
Practice address
3 MERIDIAN CT, SUITE 2, KALISPELL, MT 59901-4240
(406) 755-4488
(406) 755-4481
Mailing address
3 MERIDIAN CT, SUITE 2, KALISPELL, MT 59901-4240
(406) 755-4488
(406) 755-4481
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
10947
MT
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Enumeration date
03/17/2008
Last updated
04/06/2020
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