Individual
MR. STEVEN DEAN HENSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1119 W KENT AVE, SUIT F, MISSOULA, MT 59801-6636
(406) 240-0692
Mailing address
1119 W KENT AVE, SUIT F, MISSOULA, MT 59801-6636
(406) 240-0692
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
865
MT
Other
Enumeration date
08/13/2012
Last updated
08/13/2012
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