Individual
MR. ROSS RICHARD VAN BRUNT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
350 HERITAGE WAY STE 1200, KALISPELL, MT 59901-3160
(406) 752-6784
Mailing address
163 LAKE BLAINE DR, KALISPELL, MT 59901-7627
(406) 212-0342
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MED-PAC-LIC-43545
MT
Other
Enumeration date
12/07/2015
Last updated
11/27/2023
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