Individual
CAROLYN C. GOREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
500 W BROADWAY ST, SUITE 320, MISSOULA, MT 59802-4003
(406) 329-5615
(406) 329-5606
Mailing address
500 W BROADWAY ST, SUITE 320, MISSOULA, MT 59802-4003
(406) 329-5615
(406) 329-5606
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
6208
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0041395
—
MT
Enumeration date
06/17/2006
Last updated
11/16/2007
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