Organization
MISSOULA UROLOGY PLLC
Active
Organization
MISSOULA UROLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM J GRABER MD (OWNER)
(406) 543-1967
Entity
Organization
Contact information
Practice address
2835 FORT MISSOULA RD, SUITE 201, MISSOULA, MT 59804-7423
(406) 543-1967
(406) 543-5379
Mailing address
2835 FORT MISSOULA RD, SUITE 201, MISSOULA, MT 59804-7423
(406) 543-1967
(406) 543-5379
Taxonomy
Speciality
Code
Description
License number
State
2088P0231X
Pediatric Urology Physician
Primary
G47576
MT
Other
Enumeration date
10/10/2007
Last updated
10/10/2007
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