PRANA FAMILY PRACTICE NPI 1598069429

NPI Information

PRANA FAMILY PRACTICE is a primary care clinic center in Missoula, MT. PRANA FAMILY PRACTICE NPI is 1598069429. The provider is registered as an organization entity type.

The provider's business location address is:

825 W KENT AVE
MISSOULA, MT
ZIP 59801-619
Phone: (406) 240-0604
Fax: (406) 721-0055

The provider's authorized official is Mindy Opper .
The authorized official title is Physician Assistant and has the following contact phone number (406) 240-0604.

The enumeration date for this NPI number is 1/6/2011 and was last updated on 1/6/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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