Organization
ALPINE FAMILY MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK GEDLAMAN (CEO)
(406) 892-1011
Entity
Organization
Contact information
Practice address
734 9TH ST W, SUITE 12, COLUMBIA FALLS, MT 59912-3859
(406) 892-1011
(406) 892-2108
Mailing address
734 9TH ST W, SUITE 12, COLUMBIA FALLS, MT 59912-3859
(406) 892-1011
(406) 892-2108
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10336
MT
363AM0700X
Medical Physician Assistant
312
MT
Other
Enumeration date
03/07/2007
Last updated
08/26/2008
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