| Petersen Concierge Medical | |
|
2315 Mcdonald Ave Missoula MT 59801-7342 | |
| (406) 541-7040 | |
| (406) 830-3123 |
| Full Name | Petersen Concierge Medical |
|---|---|
| Speciality | Family Medicine |
| Location | 2315 Mcdonald Ave, Missoula, Montana |
| Authorized Official Name and Position | Camilla Esther Juhl Petersen (CEO) |
| Authorized Official Contact | 4065417040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Petersen Concierge Medical 2315 Mcdonald Ave Missoula MT 59801-7342 Ph: (406) 499-1354 | Petersen Concierge Medical 2315 Mcdonald Ave Missoula MT 59801-7342 Ph: (406) 541-7040 |
| NPI Number | 1245957737 |
|---|---|
| Provider Enumeration Date | 10/25/2022 |
| Last Update Date | 10/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245957737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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