Organization
RICHARD SELLMAN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD LAWRENCE SELLMAN JR. M.D. (OWNER OF CORPORATION)
(406) 543-0550
Entity
Organization
Contact information
Practice address
601 W SPRUCE ST, STE K, MISSOULA, MT 59802-4057
(406) 543-0550
(406) 543-6180
Mailing address
PO BOX 1656, MISSOULA, MT 59806-1656
(406) 543-0550
(406) 543-6180
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
8613
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0040375
—
MT
Enumeration date
11/14/2006
Last updated
06/06/2012
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