Individual
STACY MCCOMB GOINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
801 N 29TH ST, BILLINGS, MT 59101-0905
(406) 238-2500
Mailing address
PO BOX 35100, BILLINGS, MT 59107-5100
(406) 238-2500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
121
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000091363
BCBS PIN
MT
01
—
0109876
MDCD PIN
MT
01
—
103644100
MDCD PIN
WY
Enumeration date
01/18/2007
Last updated
05/24/2016
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