Organization
GREAT FALLS NEPHROLOGY ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VARGHESE PARAMBI MD (OWNER)
(406) 622-5955
Entity
Organization
Contact information
Practice address
2800 11TH AVE S, SUITE 29, GREAT FALLS, MT 59405-5263
(406) 622-3357
(406) 622-5477
Mailing address
2800 11TH AVE S, SUITE 29, GREAT FALLS, MT 59405-5263
(406) 622-3357
(406) 622-5477
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
10588
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10588
LICENSE
MT
Enumeration date
04/23/2012
Last updated
05/23/2012
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