Individual
JENNIFER RAE DOTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
601 W SPRUCE ST STE J, MISSOULA, MT 59802-4047
(406) 327-3350
Mailing address
601 W SPRUCE ST STE J, MISSOULA, MT 59802-4047
(406) 329-4142
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
60099
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295183994
—
MT
Enumeration date
06/03/2016
Last updated
11/11/2021
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