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Individual

MR. RYAN BARRETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NP-C

Contact information

Practice address
2835 FORT MISSOULA RD, MISSOULA, MT 59804-7423
(406) 542-0391
Mailing address
2835 FORT MISSOULA RD, MISSOULA, MT 59804-7423

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
5136301-4405
UT
363LF0000X
Family Nurse Practitioner
NP-1078S
ID
363LF0000X
Family Nurse Practitioner
Primary
NUR-RN-LIC-86986
MT

Other

Enumeration date
08/29/2011
Last updated
12/18/2023
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