Organization
NORTHGATE PRIMARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA WHITE (VP PHYSICIAN SERVICES)
(406) 327-4134
Entity
Organization
Contact information
Practice address
2230 N RESERVE ST, MISSOULA, MT 59808-1321
(406) 721-0533
Mailing address
PO BOX 16900, MISSOULA, MT 59808-6900
(406) 327-4620
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
02/04/2008
Last updated
02/04/2008
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