Individual
TERESA AUGUSTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1122 N MONTANA AVE, HELENA, MT 59601-3513
(406) 449-5563
(406) 449-4730
Mailing address
1122 N MONTANA AVE, HELENA, MT 59601-3513
(406) 449-5563
(406) 449-4730
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
10688
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497721013
—
MT
Enumeration date
02/23/2006
Last updated
09/13/2019
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