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910 Brooks St Suite 202 Missoula MT 59801-5783 | |
| (406) 541-8060 | |
| (406) 541-8062 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Sleep Medicine |
| Location | 910 Brooks St, Missoula, Montana |
| Authorized Official Name and Position | Michael J. Silverglat (OWNER) |
| Authorized Official Contact | 4065418060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
910 Brooks St Suite 202 Missoula MT 59801-5783 Ph: (406) 541-8060 | 910 Brooks St Suite 202 Missoula MT 59801-5783 Ph: (406) 541-8060 |
| NPI Number | 1730413980 |
|---|---|
| Provider Enumeration Date | 09/21/2009 |
| Last Update Date | 09/21/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730413980 | NPI | - | NPPES |
| 260014211 | Other | MT | RR MEDICARE |
| 1700835014 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084S0012X | Psychiatry & Neurology - Sleep Medicine | 5005 (Montana) | Primary |
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