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Organization

COTTONWOOD CLINIC, LLC

Active
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Organization

COTTONWOOD CLINIC, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HEIDE LYNN APPLEGATE FNP-C (OWNER, NP)
(406) 846-4275
Entity
Organization

Contact information

Practice address
310 MAIN ST, DEER LODGE, MT 59722-1000
(406) 846-4275
(406) 846-7278
Mailing address
310 MAIN ST, DEER LODGE, MT 59722-1000
(406) 846-4275
(406) 846-7278

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
363LF0000X
Family Nurse Practitioner
25000
MT

Other

Enumeration date
03/10/2014
Last updated
03/12/2024
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