Individual
DONALD TUDAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1013 7TH AVE W, KALISPELL, MT 59901-5562
(406) 270-0841
Mailing address
1013 7TH AVE W, KALISPELL, MT 59901-5562
(406) 270-0841
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
612763
—
Other
Enumeration date
05/17/2017
Last updated
05/17/2017
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