Individual
DOUGLAS KEITH WOMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
320A EXPRESSWAY STE A, MISSOULA, MT 59808-1560
(406) 541-2399
(406) 541-2398
Mailing address
400 W BROADWAY ST, SUITE 101-523, MISSOULA, MT 59802-4136
(406) 541-2399
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
211
MT
Other
Enumeration date
05/05/2008
Last updated
05/13/2021
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