Individual
DANIELLE MAESTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1501 SAINT CHARLES ST, FORT BENTON, MT 59442-7710
(406) 622-3331
Mailing address
1501 SAINT CHARLES ST, FORT BENTON, MT 59442-7710
(406) 622-5485
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
50.004901RX
OH
363AM0700X
Medical Physician Assistant
Primary
MED-PAC-LIC-88688
MT
Other
Enumeration date
05/25/2016
Last updated
12/08/2020
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