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NPI Code Detail

MEDICARE: PATRICK SCOTT EDMONDSON

MEDICARE: PATRICK SCOTT EDMONDSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor9381MT
2111N00000XChiropractor33767CA

General Provider Information

NPI Number : 1609313535
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICK SCOTT EDMONDSON
Provider Business Mailing Address
First Line : PO BOX 5096
Second Line :
City : GREAT FALLS
State : MT
Zip : 59403-5096
Country : US
Telephone Number : 406-622-5485
Fax Number :
Provider Business Practice Location Address
First Line : 1518 CHOUTEAU ST
Second Line :
City : FORT BENTON
State : MT
Zip : 59442-9003
Country : US
Telephone Number : 406-622-5485
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2017
Last Update Date : 03/26/2025

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Directions to “ PATRICK SCOTT EDMONDSON ” Practice Location

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