| Infectious Disease Specialists, Pc | |
|
614 W Spruce St Missoula MT 59802-4002 | |
| (406) 327-1666 | |
| (406) 329-5606 |
| Full Name | Infectious Disease Specialists, Pc |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 614 W Spruce St, Missoula, Montana |
| Authorized Official Name and Position | Willa Craig (BUSINESS MANAGER) |
| Authorized Official Contact | 4067216221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Infectious Disease Specialists, Pc Po Box 8897 Missoula MT 59807-8897 Ph: (406) 721-6221 | Infectious Disease Specialists, Pc 614 W Spruce St Missoula MT 59802-4002 Ph: (406) 327-1666 |
| NPI Number | 1144260514 |
|---|---|
| Provider Enumeration Date | 06/07/2006 |
| Last Update Date | 05/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144260514 | NPI | - | NPPES |
| 0154581 | Medicaid | MT | |
| P00185637 | Other | RR MEDICARE | |
| 1073553491 | Medicaid | MT | |
| 92275 | Other | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 6638 (Montana) | Primary |
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