Individual
DIANA PODLECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
601 W SPRUCE ST, MISSOULA, MT 59802-4057
(406) 721-5600
(406) 721-3907
Mailing address
PO BOX 7609, MISSOULA, MT 59807-7609
(406) 721-5600
(406) 721-3907
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
40994
MT
Other
Enumeration date
02/01/2011
Last updated
05/11/2020
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