Organization
PRANA FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MINDY OPPER PA-C (PHYSICIAN ASSISTANT)
(406) 240-0604
Entity
Organization
Contact information
Practice address
825 W KENT AVE, MISSOULA, MT 59801-6619
(406) 240-0604
(406) 721-0055
Mailing address
825 W KENT AVE, MISSOULA, MT 59801-6619
(406) 240-0604
(406) 721-0055
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
37
MT
Other
Enumeration date
01/06/2011
Last updated
01/06/2011
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