Organization
SELENE MEDICAL CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER SHEPARD MD (OWNER)
(817) 404-7481
Entity
Organization
Contact information
Practice address
155 N CALIFORNIA ST APT 211, MISSOULA, MT 59801-1766
(817) 404-7481
Mailing address
155 N CALIFORNIA ST APT 211, MISSOULA, MT 59801-1766
(817) 404-7481
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/31/2024
Last updated
05/31/2024
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