Individual
BRIANNE PELTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
202 CONWAY DR STE 200, KALISPELL, MT 59901-3153
(720) 848-0000
Mailing address
202 CONWAY DR STE 200, KALISPELL, MT 59901-3153
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
1947
CO
363AS0400X
Surgical Physician Assistant
Primary
79757
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
81936524
—
CO
Enumeration date
10/03/2006
Last updated
11/27/2023
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