Individual
JULIANA GAIL ROSS THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, ATC
Contact information
Practice address
111 SUNNYVIEW LN, KALISPELL, MT 59901-3164
(406) 752-7900
(406) 257-0253
Mailing address
2516 ASPEN COVE CIR, VESTAVIA, AL 35243-2432
(205) 789-9988
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1942
AL
363A00000X
Physician Assistant
Primary
MED-PAC-LIC-130439
MT
Other
Enumeration date
03/08/2022
Last updated
04/28/2025
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