Benefis Medical Group

NPI 1043469513 - Pediatrics - 2080P0207X

NPI Details
NPI 1043469513
Enumeration Date 09/09/2008
Last Updated 11/22/2010
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name JERRY W. JERRY
Position PRESIDENT
Phone (406) 455-8150
Fax
Practice Location
1117 29TH STREET SOUTH
GREAT FALLS MT, 59405-5306, US
Phone (406) 455-8150
Fax
Business Location
P.O. BOX 6010
GREAT FALLS MT, 59406-6010, US
Phone (406) 455-2900
Fax (406) 455-2902
Toxanomy
Taxonomy Code 2080P0207X
License State Montana
License Number 10145
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According to our database, Benefis Medical Group NPI is 1043469513, taxonomy code is 2080P0207X and license number is 10145, license state is located at Montana. Benefis Medical Group physically located at 1117 29th Street South, Great Falls MT, 59405-5306. NPI Number 1033115704 has the healthcare provider type.

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1043469513 NPI number is provided on an as is basis without warranty of any kind. 1043469513 is maintained by the National Plan & Provider Enumeration System. The contents of Benefis Medical Group are for informational purposes only.