Individual
GREG R WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
801 KEMP ST, MISSOULA, MT 59801-3303
(406) 581-6130
Mailing address
801 KEMP ST, MISSOULA, MT 59801-3303
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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