Individual
HEIDI MARIA MEIERBACHTOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
500 W BROADWAY ST, SUITE 320, MISSOULA, MT 59802-4008
(406) 329-5615
Mailing address
500 W BROADWAY ST, SUITE 320, MISSOULA, MT 59802-4008
(406) 329-5615
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MED-PAC-LIC-36667
MT
Other
Enumeration date
02/13/2015
Last updated
06/17/2021
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