Individual
MRS. MARY C VELK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2835 FORT MISSOULA RD STE 202, MISSOULA, MT 59804-7424
(406) 728-4292
(406) 728-5770
Mailing address
126 6TH AVE SW, RONAN, MT 59864-2600
(406) 676-3600
(406) 676-3738
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
372
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4306066
—
MT
Enumeration date
08/17/2006
Last updated
04/16/2018
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