Individual
ERIC J. DEGROAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1815 WYOMING ST APT 11, MISSOULA, MT 59801-1520
(406) 829-5815
Mailing address
1815 WYOMING ST APT 11, MISSOULA, MT 59801-1520
(406) 829-5815
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
03/12/2025
Last updated
03/12/2025
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