Individual
MADISON VERTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 S CLARK ST, BUTTE, MT 59701-2328
(406) 595-1284
Mailing address
1054 TEXAN TRL, SUITE 300, GRAPEVINE, TX 76051-3784
(817) 865-3407
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
27642
MT
Other
Enumeration date
12/13/2013
Last updated
02/18/2016
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