Organization
HEALOGICS SPECIALTY PHYSICIANS OF MONTANA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK WILLIAMS (CEO)
(904) 446-3519
Entity
Organization
Contact information
Practice address
2827 FORT MISSOULA RD, MISSOULA, MT 59804-7408
(406) 327-4514
(406) 327-3974
Mailing address
5220 BELFORT RD, SUITE 130, JACKSONVILLE, FL 32256-6017
Taxonomy
Speciality
Code
Description
License number
State
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
—
—
208600000X
Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386199933
—
MT
Enumeration date
08/23/2016
Last updated
06/01/2023
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