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Organization

DOCTOR CARLA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CARLA ELAINE DAVIS MD (OWNER)
(406) 880-4831
Entity
Organization

Contact information

Practice address
315 TREMONT ST, MISSOULA, MT 59801-4050
(406) 880-4831
Mailing address
315 TREMONT ST, MISSOULA, MT 59801-4050

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
02/28/2024
Last updated
02/28/2024
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