Organization
PIRA HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN GUY LOOSLI MSC (EXECUTIVE DIRECTOR)
(406) 763-8833
Entity
Organization
Contact information
Practice address
2825 FORT MISSOULA RD STE 201, MISSOULA, MT 59804-7403
(208) 557-9898
Mailing address
2825 FORT MISSOULA RD STE 201, MISSOULA, MT 59804-7403
(208) 557-9898
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Enumeration date
06/12/2019
Last updated
08/10/2020
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