Individual
KEITH A HARBOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
EMT
Contact information
Practice address
29 MILE HIGH LN., ELLISTON, MT 59728-0196
(406) 422-7185
Mailing address
PO BOX 196, 29 MILE HIGH LN., ELLISTON, MT 59728-0196
(406) 422-7185
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
698
MT
Other
Enumeration date
02/09/2010
Last updated
02/09/2010
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