Premier Care Pediatrics, Llc

NPI 1215361761 - Nurse Practitioner - 363LP0200X

NPI Details
NPI 1215361761
Enumeration Date 09/01/2013
Last Updated 09/04/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name MICHAEL K MICHAEL
Position CEO
Phone (406) 770-3000
Fax (406) 770-3146
Practice Location
916 13TH AVE S
GREAT FALLS MT, 59405-4406, US
Phone (406) 770-3000
Fax (406) 770-3146
Business Location
916 13TH AVE S
GREAT FALLS MT, 59405-4406, US
Phone (406) 770-3000
Fax (406) 770-3146
Toxanomy
Taxonomy Code 363LP0200X
License State Montana
License Number 47073
Remove 1215361761 NPI Number
 

According to our database, Premier Care Pediatrics, Llc NPI is 1215361761, taxonomy code is 363LP0200X and license number is 47073, license state is located at Montana. Premier Care Pediatrics, Llc physically located at 916 13th Ave S, Great Falls MT, 59405-4406. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1215361761 NPI number is provided on an as is basis without warranty of any kind. 1215361761 is maintained by the National Plan & Provider Enumeration System. The contents of Premier Care Pediatrics, Llc are for informational purposes only.