Individual
SEAN SEAGRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 W BROADWAY ST, MISSOULA, MT 59802-4008
(406) 543-7271
(406) 327-1834
Mailing address
PO BOX 12, LIBERTY LAKE, WA 99019-0012
(866) 747-2455
(406) 327-1834
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MED-PHYS-LIC-127366
MT
Other
Enumeration date
03/31/2020
Last updated
08/29/2023
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