Individual
DALE STOVERUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
40774 MT HIGHWAY 35, POLSON, MT 59860-7745
(406) 883-3674
(406) 883-3694
Mailing address
40774 MT HIGHWAY 35, POLSON, MT 59860-7745
(406) 883-3674
(406) 883-3694
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2408
MT
Other
Enumeration date
10/28/2010
Last updated
10/28/2010
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