Individual
LINDA M MATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
3700 S RUSSELL ST STE 115, MISSOULA, MT 59801-8579
(406) 203-5180
(406) 203-5178
Mailing address
3700 S RUSSELL ST STE 115, MISSOULA, MT 59801-8579
(406) 203-5180
(406) 203-5178
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
730
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40771
BLUE CROSS PROVIDER NUMBE
MT
Enumeration date
03/07/2007
Last updated
08/04/2020
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