Individual
BLAKE ELLEN REMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 26TH ST S, GREAT FALLS, MT 59405-5161
(406) 455-5000
Mailing address
1101 26TH ST S, GREAT FALLS, MT 59405-5161
(406) 455-5000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MED-PAC-LIC-130354
MT
Other
Enumeration date
10/05/2023
Last updated
04/05/2024
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