Individual
MRS. MELISSA MARIE QUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2475 E BROADWAY ST, HELENA, MT 59601-4928
(406) 457-4180
Mailing address
2475 E BROADWAY ST, HELENA, MT 59601-4928
(406) 457-4180
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MED-PAC-LIC-126864
MT
363AS0400X
Surgical Physician Assistant
2012012829
MO
363AS0400X
Surgical Physician Assistant
PA.0003979
CO
Other
Enumeration date
04/27/2012
Last updated
02/21/2024
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