Individual
BETH AMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
401 RAILROAD ST W, MISSOULA, MT 59802-4109
(406) 258-4789
Mailing address
323 W ALDER ST, MISSOULA, MT 59802-4123
(406) 258-4789
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6894
MT
Other
Enumeration date
06/05/2006
Last updated
06/18/2013
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