Individual
ERICA LEIGH FULWIDER BRAJCICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 26TH ST S, GREAT FALLS, MT 59405-5161
(406) 731-8888
(406) 731-8876
Mailing address
1101 26TH ST S, GREAT FALLS, MT 59405-5161
(406) 731-8888
(406) 731-8876
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60996589
WA
Other
Enumeration date
11/11/2016
Last updated
07/21/2022
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