Organization
BASECAMP PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA PATRICK PNP (OWNER, PNP)
(406) 240-1229
Entity
Organization
Contact information
Practice address
2230 27TH AVE STE 3, MISSOULA, MT 59804-5128
(406) 214-4577
Mailing address
110 E KENT AVE, MISSOULA, MT 59801-6028
(406) 240-1229
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
11/15/2024
Last updated
11/15/2024
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