Healthcare Provider Details
I. General information
NPI: 1770639387
Provider Name (Legal Business Name): THOMAS E. FLASS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/26/2007
Last Update Date: 12/13/2025
Certification Date: 12/13/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
195 COMMONS LOOP STE D
KALISPELL MT
59901-1912
US
IV. Provider business mailing address
234 TERRACE RD
KALISPELL MT
59901-7432
US
V. Phone/Fax
- Phone: 406-501-6570
- Fax:
- Phone: 406-270-9548
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2080P0206X |
| Taxonomy | Pediatric Gastroenterology Physician |
| License Number | 79324 |
| License Number State | AZ |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2080P0206X |
| Taxonomy | Pediatric Gastroenterology Physician |
| License Number | 11730 |
| License Number State | MT |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: