Organization
MERCURY STREET MEDICAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT G BUTLER (ADMINISTRATOR)
(406) 723-1300
Entity
Organization
Contact information
Practice address
300 W MERCURY ST, BUTTE, MT 59701-1652
(406) 723-1300
(406) 723-1335
Mailing address
300 W MERCURY ST, BUTTE, MT 59701-1652
(406) 723-1300
(406) 723-1335
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1074257
MT
Other
Enumeration date
11/01/2006
Last updated
05/18/2012
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