Montana Neurology Pllc | |
2825 Fort Missoula Rd Ste 121 Missoula MT 59804 | |
(406) 926-3500 | |
(406) 926-3498 |
Full Name | Montana Neurology Pllc |
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Speciality | Psychiatry & Neurology |
Location | 2825 Fort Missoula Rd Ste 121, Missoula, Montana |
Authorized Official Name and Position | Thomas H Swanson (CEO) |
Authorized Official Contact | 4069263500 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Montana Neurology Pllc 2825 Fort Missoula Rd Suite #121 Missoula MT 59804-7420 Ph: (406) 926-3500 | Montana Neurology Pllc 2825 Fort Missoula Rd Ste 121 Missoula MT 59804 Ph: (406) 926-3500 |
NPI Number | 1780810275 |
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Provider Enumeration Date | 06/10/2009 |
Last Update Date | 05/31/2018 |
Medicare PECOS PAC ID | 9436296928 |
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Medicare Enrollment ID | O20091103000170 |
Identifier | Type | State | Issuer |
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1780810275 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
Provider Name | Susan B Mcgee |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528238078 PECOS PAC ID: 2668559063 Enrollment ID: I20080409000690 |
Provider Name | Thomas H Swanson |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1376535575 PECOS PAC ID: 2062309891 Enrollment ID: I20081202000413 |
Provider Name | Peggy Sue Scharberg Chaffin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174234769 PECOS PAC ID: 4981077104 Enrollment ID: I20230308001674 |
Provider Name | Mackenzie Sue Westphal |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801548672 PECOS PAC ID: 4688028947 Enrollment ID: I20230920004435 |
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