Organization
CLARUS IME OF MONTANA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERE KOLSTAD OWNER (OWNER)
(406) 926-6950
Entity
Organization
Contact information
Practice address
2415 DEARBORN AVE, MISSOULA, MT 59801-7529
(406) 926-6950
(406) 926-6951
Mailing address
PO BOX 910, MISSOULA, MT 59806-0910
(406) 926-6950
(406) 926-6951
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
—
—
Other
Enumeration date
10/16/2019
Last updated
10/16/2019
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