Organization
KALISPELL REGIONAL MEDICAL CENTER, INC
Active
Other names
Logan Health Children's Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM GIBSON (GENERAL COUNSEL)
(406) 752-1724
Entity
Organization
Contact information
Practice address
202 CONWAY DR STE 200, KALISPELL, MT 59901-3153
(406) 758-7490
(406) 758-7080
Mailing address
202 CONWAY DR STE 200, KALISPELL, MT 59901-3153
(406) 758-7490
(406) 758-7080
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
02/24/2021
Last updated
02/24/2021
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