Individual
TERESA BALDRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
500 W BROADWAY ST, MISSOULA, MT 59802-4008
(406) 329-7870
(406) 329-7871
Mailing address
PO BOX 16900, MISSOULA, MT 59808
(406) 327-4620
(406) 549-5928
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MT7410
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000006841
BCBS
MT
Enumeration date
08/09/2006
Last updated
07/21/2022
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