Healthcare Provider Details

I. General information

NPI: 1386981686
Provider Name (Legal Business Name): CYNTHIA M. ALARCON PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/08/2013
Last Update Date: 11/07/2022
Certification Date: 11/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1930 9TH AVE
HELENA MT
59601-4759
US

IV. Provider business mailing address

1930 9TH AVE
HELENA MT
59601-4759
US

V. Phone/Fax

Practice location:
  • Phone: 406-457-0000
  • Fax: 406-500-2128
Mailing address:
  • Phone: 406-457-0000
  • Fax: 406-457-8981

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number22387
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number22387
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: