Individual
AUSTIN BLANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 LOLA ST, HELENA, MT 59601-8657
(406) 449-2501
Mailing address
800 LOLA ST, HELENA, MT 59601-8657
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6138
MT
Other
Enumeration date
12/12/2019
Last updated
12/12/2019
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