Individual
MEREDITH COOPER RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 W SPRUCE ST STE A, MISSOULA, MT 59802-4047
(406) 728-3111
(406) 728-3116
Mailing address
PO BOX 12, LIBERTY LAKE, WA 99019-0012
(406) 728-3111
(406) 728-3116
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MED-PAC-LIC-104453
MT
363A00000X
Physician Assistant
—
—
Other
Enumeration date
08/25/2019
Last updated
04/13/2023
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