Organization
WESTERN MONTANA CLINIC PC
Active
Organization
WESTERN MONTANA CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOYCE E STEVENS (DIRECTOR ANCILLARY & SATELLITE SERV)
(406) 721-5600
Entity
Organization
Contact information
Practice address
11350 US HIGHWAY 93 S, LOLO FAMILY PRACTICE, LOLO, MT 59847-9689
(406) 273-0045
Mailing address
PO BOX 7609, MISSOULA, MT 59807-7609
(406) 721-5600
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
05/26/2010
Last updated
05/26/2010
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