Organization
DR. BEVERLY L. BRAAK, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BEVERLY LYNN BRAAK M.D. (OWNER)
(406) 327-3875
Entity
Organization
Contact information
Practice address
2831 FORT MISSOULA RD BLDG 2, SUITE 203, MISSOULA, MT 59804-7419
(406) 327-3875
(406) 327-3876
Mailing address
2831 FORT MISSOULA RD BLDG 2, SUITE 203, MISSOULA, MT 59804-7419
(406) 327-3875
(406) 327-3876
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
11310
MT
Other
Enumeration date
03/19/2009
Last updated
03/19/2009
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