Individual
RISA DAWN PAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2550 E BROADWAY ST, HELENA, MT 59601-4905
(406) 457-4160
Mailing address
2550 E BROADWAY ST, HELENA, MT 59601-4905
(406) 457-4160
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MED-PAC-LIC-70120
MT
Other
Enumeration date
11/20/2018
Last updated
05/09/2019
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