Individual
SHEA MARIE KOGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
32 CAMPUS DR, MISSOULA, MT 59801-4494
(406) 243-0211
Mailing address
630 S 6TH ST E, MISSOULA, MT 59801-2811
(425) 324-0081
Taxonomy
Speciality
Code
Description
License number
State
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
207RS0010X
MT
Other
Enumeration date
07/05/2025
Last updated
07/05/2025
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