Infectious Disease Specialists, Pc | |
614 W Spruce St Missoula MT 59802-4002 | |
(406) 327-1666 | |
(406) 329-5606 |
Full Name | Infectious Disease Specialists, Pc |
---|---|
Speciality | Internal Medicine - Infectious Disease |
Location | 614 W Spruce St, Missoula, Montana |
Authorized Official Name and Position | Willa Craig (BUSINESS MANAGER) |
Authorized Official Contact | 4067216221 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Infectious Disease Specialists, Pc Po Box 8897 Missoula MT 59807-8897 Ph: (406) 721-6221 | Infectious Disease Specialists, Pc 614 W Spruce St Missoula MT 59802-4002 Ph: (406) 327-1666 |
NPI Number | 1144260514 |
---|---|
Provider Enumeration Date | 06/07/2006 |
Last Update Date | 05/27/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144260514 | NPI | - | NPPES |
0154581 | Medicaid | MT | |
P00185637 | Other | RR MEDICARE | |
1073553491 | Medicaid | MT | |
92275 | Other | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | 6638 (Montana) | Primary |
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