Individual
DR. JOHN MERRILL NEATHAWK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
500 W BROADWAY ST, ROOM 202 MAIN HOSPITAL, MSC 333, MISSOULA, MT 59802-4008
(406) 543-7271
(406) 327-1834
Mailing address
PO BOX 12, LIBERTY LAKE, WA 99019-0012
(866) 747-2455
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
49722
MT
Other
Enumeration date
06/12/2013
Last updated
03/27/2018
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