Individual
JUSTIN CLARENCE PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 W SPRUCE ST STE A, MISSOULA, MT 59802-4047
(406) 728-3111
(406) 728-3116
Mailing address
PO BOX 12, LIBERTY LAKE, WA 99019-0012
(406) 728-3111
(406) 728-3116
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MED-PHYS-LIC-58758
MT
Other
Enumeration date
06/06/2014
Last updated
08/19/2022
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