Primal Practice | |
235 N 1st St W Ste A, Missoula, MT 59802-3661 | |
(406) 549-8969 | |
Not Available |
Full Name | Primal Practice |
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Type | Facility |
Speciality | Chiropractor |
Location | 235 N 1st St W Ste A, Missoula, Montana |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1659091874 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Elizabeth Nellie Walker |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1669831947 PECOS PAC ID: 5193101970 Enrollment ID: I20221003000674 |
Provider Name | Matthew Alan Peterson |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1144954470 PECOS PAC ID: 9638555253 Enrollment ID: I20221005003324 |
Mailing Address | Practice Location Address |
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Primal Practice 235 N 1st St W Ste A, Missoula, MT 59802-3661 Ph: (406) 549-8969 | Primal Practice 235 N 1st St W Ste A, Missoula, MT 59802-3661 Ph: (406) 549-8969 |
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