| Susan H. Avery, Md, Pc | |
|
401 15th Ave S Ste 110 Great Falls MT 59405-4334 | |
| (406) 761-2399 | |
| (406) 761-1992 |
| Full Name | Susan H. Avery, Md, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 401 15th Ave S Ste 110, Great Falls, Montana |
| Authorized Official Name and Position | Susan Hoppock Avery (PRESIDENT) |
| Authorized Official Contact | 4067612399 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan H. Avery, Md, Pc 401 15th Ave S Ste 110 Great Falls MT 59405-4334 Ph: (406) 761-2399 | Susan H. Avery, Md, Pc 401 15th Ave S Ste 110 Great Falls MT 59405-4334 Ph: (406) 761-2399 |
| NPI Number | 1306177092 |
|---|---|
| Provider Enumeration Date | 01/20/2010 |
| Last Update Date | 01/20/2010 |
| Medicare PECOS PAC ID | 8628110954 |
|---|---|
| Medicare Enrollment ID | O20100125000096 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306177092 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 3884 (Montana) | Primary |
| Provider Name | Susan H Avery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437244845 PECOS PAC ID: 6800938135 Enrollment ID: I20100125000094 |
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