| Prana Family Practice | |
|
825 W Kent Ave Missoula MT 59801-6619 | |
| (406) 240-0604 | |
| (406) 721-0055 |
| Full Name | Prana Family Practice |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 825 W Kent Ave, Missoula, Montana |
| Authorized Official Name and Position | Mindy Opper (PHYSICIAN ASSISTANT) |
| Authorized Official Contact | 4062400604 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prana Family Practice 825 W Kent Ave Missoula MT 59801-6619 Ph: (406) 240-0604 | Prana Family Practice 825 W Kent Ave Missoula MT 59801-6619 Ph: (406) 240-0604 |
| NPI Number | 1598069429 |
|---|---|
| Provider Enumeration Date | 01/06/2011 |
| Last Update Date | 01/06/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598069429 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 37 (Montana) | Primary |
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