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10 Robinson Ln Red Lodge MT 59068-9010 | |
(406) 446-3800 | |
(406) 446-3802 |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 10 Robinson Ln, Red Lodge, Montana |
Authorized Official Name and Position | Jason L. Barker (PRESIDENT/COO) |
Authorized Official Contact | 4062373070 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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10 Robinson Ln Red Lodge MT 59068-9010 Ph: (406) 446-3800 | 10 Robinson Ln Red Lodge MT 59068-9010 Ph: (406) 446-3800 |
NPI Number | 1942241401 |
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Provider Enumeration Date | 06/08/2006 |
Last Update Date | 10/25/2011 |
Identifier | Type | State | Issuer |
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1942241401 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 9717 (Montana) | Primary |