Individual
MRS. MELISSA PEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
931 HIGHLAND BLVD STE 3350, BOZEMAN, MT 59715-6914
(406) 414-5331
Mailing address
915 HIGHLAND BLVD, BOZEMAN, MT 59715-6902
(406) 414-5000
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
78034
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508145582
—
MT
Enumeration date
08/09/2011
Last updated
04/10/2025
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