| Somer R Mazzucola Llc | |
|
820 N Montana Ave Helena MT 59601-3856 | |
| (406) 443-7733 | |
| Not Available |
| Full Name | Somer R Mazzucola Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 820 N Montana Ave, Helena, Montana |
| Authorized Official Name and Position | Somer R Mazzucola (OWNER) |
| Authorized Official Contact | 9312410429 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Somer R Mazzucola Llc 1495 Concord Rd Helena MT 59602-7325 Ph: () - | Somer R Mazzucola Llc 820 N Montana Ave Helena MT 59601-3856 Ph: (406) 443-7733 |
| NPI Number | 1962904219 |
|---|---|
| Provider Enumeration Date | 03/02/2018 |
| Last Update Date | 03/02/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962904219 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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