| Premise Health Of Montana Medical, P.c. | |
|
340 W Center St Kalispell MT 59901-4032 | |
| (406) 751-9300 | |
| (601) 500-5708 |
| Full Name | Premise Health Of Montana Medical, P.c. |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 340 W Center St, Kalispell, Montana |
| Authorized Official Name and Position | Jonathan B Leizman (PRESIDENT) |
| Authorized Official Contact | 2164799063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premise Health Of Montana Medical, P.c. 5500 Maryland Way Ste 120 Brentwood TN 37027-4993 Ph: () - | Premise Health Of Montana Medical, P.c. 340 W Center St Kalispell MT 59901-4032 Ph: (406) 751-9300 |
| NPI Number | 1053071381 |
|---|---|
| Provider Enumeration Date | 12/28/2021 |
| Last Update Date | 12/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053071381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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