Organization
MISSION VALLEY HEALTH CLINIC, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SABRINA JANE CASTOR (OFFICE MANAGER)
(406) 745-8765
Entity
Organization
Contact information
Practice address
35773 AIRPORT RD, ST IGNATIUS, MT 59865-9001
(406) 745-8765
Mailing address
35773 AIRPORT RD, ST IGNATIUS, MT 59865-9001
(406) 745-8765
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
145
MT
Other
Enumeration date
05/23/2006
Last updated
03/11/2009
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