Individual
SHADRACH ROUNDY BARNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.D.
Contact information
Practice address
734 9TH ST W STE 4, COLUMBIA FALLS, MT 59912-3858
(406) 892-0700
Mailing address
218 TERRACE RD, KALISPELL, MT 59901-7432
(406) 885-0184
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
28
ND
Other
Enumeration date
02/13/2012
Last updated
12/19/2024
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