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Individual

DR. JEFFREY MARIANO LAPORTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2360 MULLAN RD STE C, MISSOULA, MT 59808-1811
(406) 721-4436
(406) 721-3907
Mailing address
2360 MULLAN RD STE C, MISSOULA, MT 59808-1811
(406) 721-4436

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35055257
OH
207XS0106X
Orthopaedic Hand Surgery Physician
35055257
OH
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
35055257
OH
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
35055257
OH

Other

Enumeration date
09/15/2005
Last updated
08/25/2014
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