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Organization

FLORENCE FAMILY PRACTICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOYCE E STEVENS (DIR OF ANCILLARY/SATELLITE SERVICES)
(406) 721-5600
Entity
Organization

Contact information

Practice address
5549 OLD HWY 93, FLORENCE, MT 59833-6545
(406) 273-4923
Mailing address
PO BOX 7638, MISSOULA, MT 59807-7638
(406) 273-4932

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
207Q00000X
Family Medicine Physician
Primary
363LP0200X
Pediatric Nurse Practitioner

Other

Enumeration date
09/10/2007
Last updated
12/04/2007
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