Individual
MR. MATT RYAN MCNUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
2827 FORT MISSOULA RD, MISSOULA, MT 59804-7408
(406) 728-4100
Mailing address
2827 FORT MISSOULA RD, MISSOULA, MT 59804-7408
(406) 241-3458
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
39015
MT
Other
Enumeration date
04/08/2015
Last updated
05/02/2015
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