Individual
SAMANTHA J SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
350 HERITAGE WAY, SUITE 2100, KALISPELL, MT 59901-3158
(406) 257-8992
(406) 257-8996
Mailing address
350 HERITAGE WAY, SUITE 2100, KALISPELL, MT 59901-3158
(406) 257-8992
(406) 257-8996
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
18798
MT
Other
Enumeration date
09/20/2006
Last updated
11/27/2023
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