Individual
LEE SANFORD HUDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1301 12TH AVE S STE 104, GREAT FALLS, MT 59405-4600
(406) 315-3037
(406) 315-2467
Mailing address
1301 12TH AVE S STE 104, GREAT FALLS, MT 59405-4600
(406) 315-3037
(406) 315-2467
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
408
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M000004085
MEDICARE PTAN
MT
Enumeration date
12/05/2006
Last updated
06/02/2021
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