Individual
LAR K AUTIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 WEST BROADWAY, MISSOULA, MT 59802-4008
(406) 721-5600
(406) 721-3907
Mailing address
4090 DUNCAN DR, MISSOULA, MT 59802-3293
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7833
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0106709
—
MT
Enumeration date
05/20/2006
Last updated
01/08/2024
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