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Individual

DR. HOWARD LINCOLN TICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
75 CLAREMONT ST, SUITE F, KALISPELL, MT 59901-3585
(406) 752-7441
(406) 257-0304
Mailing address
75 CLAREMONT ST, SUITE F, KALISPELL, MT 59901-3585
(406) 752-7441
(406) 257-0304

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
10070
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
46597
MT
Enumeration date
03/28/2006
Last updated
06/20/2016
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