Organization
NEUROLOGICAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHLEEN RYAN (PRACTICE MANAGER)
(406) 728-6520
Entity
Organization
Contact information
Practice address
500 WEST BROADWAY STREET, SUITE 310, MISSOULA, MT 59802-4012
(406) 728-6520
Mailing address
500 WEST BROADWAY STREET, SUITE 310, MISSOULA, MT 59802-4012
(406) 728-6520
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27T5427
BLUE CROSS BLUE SHIELD
MT
05
—
7316805
—
WA
01
—
CE8579
RAILROAD MEDICARE
—
Enumeration date
09/07/2005
Last updated
01/31/2008
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