Individual
STEPHANIE ELIZABETH TRIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
500 W BROADWAY ST, MISSOULA, MT 59802-4008
(406) 329-5615
Mailing address
PO BOX 31001-4110, PASADENA, CA 91110-4110
(406) 329-5615
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MED-PAC-LIC-80026
MT
Other
Enumeration date
02/12/2020
Last updated
07/01/2025
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