Five Valleys Urology

NPI 1720067705 - Urology - 208800000X

NPI Details
NPI 1720067705
Enumeration Date 01/10/2006
Last Updated 04/21/2011
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JOHN TERRY JOHN
Position PRACTICE ADMINISTRATOR
Phone (406) 728-3366
Fax (406) 329-2896
Practice Location
2875 TINA
SUITE 101
MISSOULA MT, 59808-1308, US
Phone (406) 728-3366
Fax (406) 329-2896
Business Location
2875 TINA AVE
SUITE 101
MISSOULA MT, 59808, US
Phone (406) 728-3366
Fax (406) 329-2896
Toxanomy
Taxonomy Code 208800000X
License State
License Number
Remove 1720067705 NPI Number
 

According to our database, Five Valleys Urology NPI is 1720067705, taxonomy code is 208800000X Five Valleys Urology physically located at 2875 Tina, Missoula MT, 59808-1308. NPI Number 1033115704 has the healthcare provider type.

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1720067705 NPI number is provided on an as is basis without warranty of any kind. 1720067705 is maintained by the National Plan & Provider Enumeration System. The contents of Five Valleys Urology are for informational purposes only.