Organization
COSTNER CARE FAMILY CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID SIMEON COSTNER FNP/APRN, NP-BC (OWNER)
(406) 223-7966
Entity
Organization
Contact information
Practice address
406 W RAILROAD AVE, PLAINS, MT 59859-9597
(406) 223-7966
Mailing address
406 W RAILROAD AVE, PLAINS, MT 59859-9597
(406) 223-7966
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/24/2021
Last updated
01/24/2021
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