Matthew Herta, | |
3687 Veterans Dr, Fort Harrison, MT 59636-9703 | |
(406) 447-7194 | |
Not Available |
Full Name | Matthew Herta |
---|---|
Gender | Male |
Speciality | Licensed Practical Nurse |
Location | 3687 Veterans Dr, Fort Harrison, Montana |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245533892 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 39675 (Montana) | Primary |
164W00000X | Licensed Practical Nurse | L1495260 (Michigan) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Matthew Herta, 1200 N Washington St, Helena, MT 59601-3238 Ph: (406) 442-4706 | Matthew Herta, 3687 Veterans Dr, Fort Harrison, MT 59636-9703 Ph: (406) 447-7194 |
News Archive
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