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Organization

ELIZABETH L. SUH, M.D. PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ELIZABETH L SUH M.D. (OWNER/PHYSICIAN)
(406) 721-9999
Entity
Organization

Contact information

Practice address
2835 FORT MISSOULA RD STE 305, MISSOULA, MT 59804-7424
(406) 721-9999
(406) 721-9756
Mailing address
2835 FORT MISSOULA RD STE 305, MISSOULA, MT 59804-7424
(406) 721-9999
(406) 721-9756

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
10065
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0153578
MT
01
1548323835
NPI #
MT
01
P00304453
MEDICARE RAILROAD
MT
Enumeration date
02/20/2008
Last updated
02/20/2008
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