Individual
DR. ERIC A. RAVITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
610 N CALIFORNIA ST, MISSOULA, MT 59802-3950
(406) 721-1646
(406) 543-9890
Mailing address
610 N. CALIFORNIA, MISSOULA, MT 59802
(406) 721-1646
(406) 543-9890
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9607
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000092351
BLUE CROSS
MT
05
—
0028101
—
MT
Enumeration date
09/20/2006
Last updated
06/16/2022
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