Somer R Mazzucola Llc | |
820 N Montana Ave Helena MT 59601-3856 | |
(406) 443-7733 | |
Not Available |
Full Name | Somer R Mazzucola Llc |
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Speciality | Clinic/center - Primary Care |
Location | 820 N Montana Ave, Helena, Montana |
Authorized Official Name and Position | Somer R Mazzucola (OWNER) |
Authorized Official Contact | 9312410429 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Somer R Mazzucola Llc 1495 Concord Rd Helena MT 59602-7325 Ph: () - | Somer R Mazzucola Llc 820 N Montana Ave Helena MT 59601-3856 Ph: (406) 443-7733 |
NPI Number | 1962904219 |
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Provider Enumeration Date | 03/02/2018 |
Last Update Date | 03/02/2018 |
Identifier | Type | State | Issuer |
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1962904219 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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