Organization
NEXT02 LLC
Active
Other names
Blue Moose Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL COLSON (OWNER)
(406) 404-8588
Entity
Organization
Contact information
Practice address
2831 FORT MISSOULA RD STE 232, MISSOULA, MT 59804-7479
(406) 404-8588
Mailing address
2831 FORT MISSOULA RD STE 232, MISSOULA, MT 59804-7479
(406) 404-8588
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
02/05/2025
Last updated
02/20/2025
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