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Individual

BENJAMIN ODEN PATE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
2310 US HIGHWAY 2 E STE 4, KALISPELL, MT 59901-2867
(406) 862-2515
(406) 862-4229
Mailing address
1111 BAKER AVE, WHITEFISH, MT 59937-2901
(406) 862-2515
(406) 862-4229

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
142655
MT
363A00000X
Physician Assistant
PA150149
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
128103
OR
Enumeration date
11/04/2009
Last updated
10/15/2025
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