Organization
COMMUNITY MEDICAL CENTER
Active
Other names
Diabetes and Endocrinology Assoc
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA WHITE (VP PHYSICIAN SERVICES)
(406) 327-4294
Entity
Organization
Contact information
Practice address
2831 FORT MISSOULA RD, SUITE 102, MISSOULA, MT 59804-7419
(406) 327-4791
Mailing address
PO BOX 16900, MISSOULA, MT 59808-6900
(406) 327-4620
(406) 549-5928
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/02/2006
Last updated
06/16/2008
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