MOUNTAIN STATES PRECISION HEALTHCARE PLLC NPI 1679164149

NPI Information

MOUNTAIN STATES PRECISION HEALTHCARE PLLC is a primary care clinic center in Missoula, MT. MOUNTAIN STATES PRECISION HEALTHCARE PLLC NPI is 1679164149. The provider is registered as an organization entity type.
The provider Is Doing Business As Mountain States Precision Healthcare.

The provider's business location address is:

2825 STOCKYARD RD STE A18
MISSOULA, MT
ZIP 59808-545
Phone: (406) 219-1233
Fax: (219) 244-6019

The provider's authorized official is Hayley Ann Miller .
The authorized official title is Owner, Director and has the following contact phone number (206) 459-0334.

The CLIA number assigned to this NPI record is 27D2221507 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/28/2021 and was last updated on 5/18/2021.

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:

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