| Selene Medical Clinic Pllc | |
|
155 N California St Apt 211 Missoula MT 59801-1766 | |
| (817) 404-7481 | |
| Not Available |
| Full Name | Selene Medical Clinic Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 155 N California St Apt 211, Missoula, Montana |
| Authorized Official Name and Position | Jennifer Shepard (OWNER) |
| Authorized Official Contact | 8174047481 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Selene Medical Clinic Pllc 155 N California St Apt 211 Missoula MT 59801-1766 Ph: (817) 404-7481 | Selene Medical Clinic Pllc 155 N California St Apt 211 Missoula MT 59801-1766 Ph: (817) 404-7481 |
| NPI Number | 1225878614 |
|---|---|
| Provider Enumeration Date | 05/31/2024 |
| Last Update Date | 05/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225878614 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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