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INTERMOUNTAIN PLANNED PARENTHOOD INC

Physicians Obstetrics & Gynecology

Provider NPI: 1134297179

Organization Information:
Organization Name:  INTERMOUNTAIN PLANNED PARENTHOOD INC
Organization is not Subpart
Authorized Official:  LANA  RAE  CFO  406-869-5009

Practice Location:
1844 BROADWATER AVE SUITE 4 (PPMT BILLINGS WEST) BILLINGS, MT 59102 US
Tel: 406-656-9980  Fax: 406-656-9928

Business Mailing Address:
1116 GRAND AVE SUITE 201 BILLINGS, MT 59102-4282 US
Tel: 406-248-3637  Fax: 406-254-9330

NPI Information:
NPI: 1134297179
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N207V00000XPhysicians
Obstetrics & Gynecology
N332900000XSuppliers
Non-Pharmacy Dispensing Site
N363L00000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner

Other Provider Identifiers:

IssuerNumberStateType
8806889MT05
NON-PHARMACY DISPENSING332900000XMT01



American Medical Association 2012 taxonomy code information

Code: 363LF0000X

Type:

Classification:



Definition:



MEDICAL JOBS MT - Page 1

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