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Individual

ASHLEY WACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
3000 15TH AVE S, GREAT FALLS, MT 59405-5240
(406) 454-2171
Mailing address
3000 15TH AVE S, GREAT FALLS, MT 59405-5240
(406) 454-2171

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
4784
AZ
363AM0700X
Medical Physician Assistant
Primary
636
MT

Other

Enumeration date
11/26/2010
Last updated
09/16/2016
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