Individual
DR. JUSTIN ANTHONY RIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 W BROADWAY ST, MISSOULA, MT 59802-4008
(406) 721-5600
(406) 329-7369
Mailing address
PO BOX 7609, MISSOULA, MT 59807-7609
(406) 721-5600
(406) 329-7369
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
209857
MA
207Q00000X
Family Medicine Physician
Primary
9609
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0149448
—
MT
Enumeration date
08/02/2006
Last updated
09/07/2023
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