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Individual

ROBERT MARK KIRK

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
202 CONWAY DR, SUITE 100, KALISPELL, MT 59901-3112
(406) 751-5666
(406) 755-0971
Mailing address
202 CONWAY DR, SUITE 100, KALISPELL, MT 59901-3112
(406) 751-5666
(406) 755-0971

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
9971
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
57511
MT
01
94045
BLUE CROSS
MT
Enumeration date
05/31/2006
Last updated
07/08/2007
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