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Individual

DANIEL COURTNEY SHORT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
310 SUNNYVIEW LN, KALISPELL, MT 59901-3129
(406) 751-5310
Mailing address
310 SUNNYVIEW LANE, KALISPELL, MT 59901
(406) 751-5310

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19032
MT
207R00000X
Internal Medicine Physician
MEDPHYSLIC19032
MT
208M00000X
Hospitalist Physician
MEDPHYSLIC19032
MT

Other

Enumeration date
04/16/2009
Last updated
11/27/2023
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