Individual
MS. GLORIA KORNISH III
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 W SPRUCE ST, SUITE C, MISSOULA, MT 59802-4057
(406) 329-2647
(406) 329-5606
Mailing address
601 W SPRUCE ST, SUITE C, MISSOULA, MT 59802-4057
(406) 329-2647
(406) 329-5606
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
168
MT
Other
Enumeration date
12/08/2006
Last updated
07/09/2007
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