Individual
MAHMUD SABET SOGGE-KERMANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
RR 1 BOX 67, HARLEM, MT 59526-9705
(406) 353-3100
(406) 353-3229
Mailing address
RR 1 BOX 67, HARLEM, MT 59526-9705
(406) 353-3100
(406) 353-3229
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
391
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
391
LICENSE NUMBER
MT
Enumeration date
11/26/2007
Last updated
04/14/2009
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