Organization
EAST SLOPE FAMILY PRACTICE PLLC
Active
Organization
EAST SLOPE FAMILY PRACTICE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMIAH L WATT FNP (BUSINESS OWNER)
(406) 781-3323
Entity
Organization
Contact information
Practice address
900 6TH ST SW STE 2, GREAT FALLS, MT 59404-3207
(406) 781-3323
Mailing address
900 6TH ST SW, SUITE 2, GREAT FALLS, MT 59404-3207
(406) 727-3242
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
1670537
MT
Other
Enumeration date
04/30/2015
Last updated
07/15/2015
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