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Individual

JACOB JAMES INDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2835 FORT MISSOULA RD BLDG 3, MISSOULA, MT 59804-7423
(406) 721-5600
Mailing address
PO BOX 7609, MISSOULA, MT 59807-7609
(406) 721-5600

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
113206
MT

Other

Enumeration date
04/10/2016
Last updated
10/04/2022
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