Organization
MEDICAL ASSOCIATES OF MONTANA LLC
Active
Organization
MEDICAL ASSOCIATES OF MONTANA LLC
Active
Other names
Medical Associates of Montana
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC DAVID THOMAS M.D. (MANAGING DIRECTOR)
(908) 625-7887
Entity
Organization
Contact information
Practice address
601 MOUNTAIN SPRINGS RD, HELENA, MT 59602-8433
(908) 625-7887
Mailing address
601 MOUNTAIN SPRINGS RD, HELENA, MT 59602-8433
(908) 625-7887
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
224P00000X
Prosthetist
—
—
225100000X
Physical Therapist
40QA01375700
NJ
291U00000X
Clinical Medical Laboratory
25MA08851700
NJ
363LA2200X
Adult Health Nurse Practitioner
26NO07865600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1528378072
NPI
MT
Enumeration date
08/13/2012
Last updated
04/01/2021
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