Individual
BONNA M GRAHAM-HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT (ASCP)
Contact information
Practice address
634 EDDY AVE., MISSOULA, MT 59812-6624
(406) 243-2778
(406) 243-2726
Mailing address
634 EDDY AVE., MISSOULA, MT 59812-6624
(406) 243-2778
(406) 243-2726
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
Primary
329
MT
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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