Roger E Castillo PA-C

NPI 1134235773 - Physician Assistant - 363A00000X

NPI Details
NPI 1134235773
Gender Male
Enumeration Date 08/23/2006
Last Updated 01/21/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
3075 NORTH RESERVE STREET, SUITE Q
MISSOULA MT, 59808, US
Phone (406) 327-1850
Fax
Business Location
3075 NORTH RESERVE STREET, SUITE Q
MISSOULA MT, 59808, US
Phone (406) 327-1875
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Montana
License Number 152
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According to our database, Roger E Castillo PA-C NPI is 1134235773, taxonomy code is 363A00000X and license number is 152, license state is located at Montana. Roger E Castillo PA-C physically located at 3075 North Reserve Street, Suite Q, Missoula MT, 59808. NPI Number Roger E Castillo PA-C has the Individual type.

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1134235773 NPI number is provided on an as is basis without warranty of any kind. 1134235773 is maintained by the National Plan & Provider Enumeration System. The contents of Roger E Castillo PA-C are for informational purposes only.