Individual
JOSE C DE SOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
430 WINDWARD WAY STE 100, KALISPELL, MT 59901-2619
(406) 751-5364
(406) 751-5367
Mailing address
430 WINDWARD WAY STE 100, KALISPELL, MT 59901-2619
(406) 751-5364
(406) 751-5367
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
8767
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275534158
BCBS
MT
05
—
1275534158
—
MT
Enumeration date
08/02/2005
Last updated
02/19/2024
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