Samantha J Short PAC

NPI 1710084751 - Physician Assistant - 363AS0400X

NPI Details
NPI 1710084751
Gender Female
Enumeration Date 09/20/2006
Last Updated 07/26/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
350 HERITAGE WAY
SUITE 2100
KALISPELL MT, 59901-3158, US
Phone (406) 257-8992
Fax (406) 257-8996
Business Location
350 HERITAGE WAY
SUITE 2100
KALISPELL MT, 59901-3158, US
Phone (406) 257-8992
Fax (406) 257-8996
Toxanomy
Taxonomy Code 363AS0400X
License State Montana
License Number 18798
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According to our database, Samantha J Short PAC NPI is 1710084751, taxonomy code is 363AS0400X and license number is 18798, license state is located at Montana. Samantha J Short PAC physically located at 350 Heritage Way, Kalispell MT, 59901-3158. NPI Number Samantha J Short PAC has the Individual type.

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1710084751 NPI number is provided on an as is basis without warranty of any kind. 1710084751 is maintained by the National Plan & Provider Enumeration System. The contents of Samantha J Short PAC are for informational purposes only.