Patricia Jane Hennessy MD

NPI 1205057015 - Family Medicine - 207Q00000X

NPI Details
NPI 1205057015
Gender Female
Enumeration Date 05/01/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1205 HIGHWAY 2
SUITE 301
SANDPOINT ID, 83864-0913, US
Phone (208) 265-9909
Fax (208) 265-5351
Business Location
PO BOX 2400
SANDPOINT ID, 83864-0913, US
Phone (208) 265-9909
Fax (208) 265-5351
Toxanomy
Taxonomy Code 207Q00000X
License State Montana
License Number 4085
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According to our database, Patricia Jane Hennessy MD NPI is 1205057015, taxonomy code is 207Q00000X and license number is 4085, license state is located at Montana. Patricia Jane Hennessy MD physically located at 1205 Highway 2, Sandpoint ID, 83864-0913. NPI Number Patricia Jane Hennessy MD has the Individual type.

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1205057015 NPI number is provided on an as is basis without warranty of any kind. 1205057015 is maintained by the National Plan & Provider Enumeration System. The contents of Patricia Jane Hennessy MD are for informational purposes only.