Organization
RIVER MONTANA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD LESOFSKI (CEO)
(406) 540-2302
Entity
Organization
Contact information
Practice address
2875 TINA AVE, MISSOULA, MT 59808-1581
(406) 540-2302
Mailing address
217 S EASY ST, MISSOULA, MT 59802-5487
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/18/2016
Last updated
07/18/2016
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