Individual
MR. SHAWN PATRICK MATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
308 MISSION DRIVE, ST IGNATIUS, MT 59865
(406) 745-3525
(406) 745-2437
Mailing address
PO BOX 880, ST IGNATIUS, MT 59865
(406) 745-3525
(406) 745-2437
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
5817
MT
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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