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Individual

BRENTON ARTHUR MEDA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2619 16TH AVE S, GREAT FALLS, MT 59405-5202
(406) 315-3398
(406) 315-3400
Mailing address
2619 16TH AVE S, GREAT FALLS, MT 59405-5202
(406) 315-3398
(406) 315-3400

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
9567
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0028171
MT
Enumeration date
11/13/2006
Last updated
11/01/2012
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