Organization
FOUR O SIX FAMILY PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOBBY GENE LUCAS NP (OWNER)
(406) 952-0061
Entity
Organization
Contact information
Practice address
2517 7TH AVE S STE B2, GREAT FALLS, MT 59405-3033
(406) 952-0061
(406) 952-0064
Mailing address
2517 7TH AVE S STE B2, GREAT FALLS, MT 59405-3033
(406) 952-0061
(406) 952-0064
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/31/2019
Last updated
01/19/2020
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