Organization
WESTERN MONTANA SPINE & INJURY CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER LEE MOORE D.C. (OWNER)
(406) 541-7763
Entity
Organization
Contact information
Practice address
2409 DEARBORN AVE, SUITE I, MISSOULA, MT 59801-7586
(406) 541-7763
Mailing address
2409 DEARBORN AVE, SUITE I, MISSOULA, MT 59801-7586
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
1219
MT
Other
Enumeration date
07/18/2011
Last updated
08/02/2012
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