Individual
MRS. HEATHER MARIE SHORTRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3075 N RESERVE ST STE Q, MISSOULA, MT 59808-1390
(406) 327-1750
(406) 327-1960
Mailing address
3075 N RESERVE ST STE Q, MISSOULA, MT 59808-1390
(406) 327-1750
(406) 327-1960
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
69432
MT
363AM0700X
Medical Physician Assistant
5601005674
MI
Other
Enumeration date
10/15/2009
Last updated
10/11/2018
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