Individual
MARY BRUEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
601 W SPRUCE ST STE J, MISSOULA, MT 59802
(406) 327-3350
(406) 327-3355
Mailing address
601 W SPRUCE ST STE J, MISSOULA, MT 59802-4047
(406) 327-3350
(406) 549-2246
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MED-PAC-LIC-60161
MT
Other
Enumeration date
05/18/2016
Last updated
05/14/2018
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