Pmg Wmt Florence Family Med | |
5549 Old Hwy 93 Florence MT 59833-6545 | |
(406) 273-4923 | |
Not Available |
Full Name | Pmg Wmt Florence Family Med |
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Speciality | Family Medicine |
Location | 5549 Old Hwy 93, Florence, Montana |
Authorized Official Name and Position | Donald Wayne Anderson (ASST SEC ENROLLMENT/DIR REIMB ADMIN) |
Authorized Official Contact | 4255255392 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pmg Wmt Florence Family Med Po Box 12 Liberty Lake WA 99019-0012 Ph: (406) 273-4923 | Pmg Wmt Florence Family Med 5549 Old Hwy 93 Florence MT 59833-6545 Ph: (406) 273-4923 |
NPI Number | 1669791786 |
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Provider Enumeration Date | 05/28/2010 |
Last Update Date | 04/05/2019 |
Identifier | Type | State | Issuer |
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1669791786 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |