EAST SLOPE FAMILY PRACTICE PLLC NPI 1801273636

NPI Information

EAST SLOPE FAMILY PRACTICE PLLC is a multi-specialty clinic center in Great Falls, MT. EAST SLOPE FAMILY PRACTICE PLLC NPI is 1801273636. The provider is registered as an organization entity type.

The provider's business location address is:

900 6TH ST SW STE 2
GREAT FALLS, MT
ZIP 59404-207
Phone: (406) 781-3323

The provider's authorized official is Jeremiah L Watt .
The authorized official title is Business Owner and has the following contact phone number (406) 781-3323.

The CLIA number assigned to this NPI record is 27D2096150 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/30/2015 and was last updated on 7/15/2015.

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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