Individual
ASHILD BORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2825 FORT MISSOULA RD, MISSOULA, MT 59804-7420
(406) 327-3924
Mailing address
2825 FORT MISSOULA RD STE 317, MISSOULA, MT 59804-7420
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
173842
MT
Other
Enumeration date
02/28/2021
Last updated
02/28/2021
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