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General NPI Number Information
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NPI Number | 1982327227
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Entity Type | Organization
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Legal Business Name | MISSOULA VALLEY PHYSICAL MEDICINE AND REHABILITATION, PLLC
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Dates
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Enumeration Date | 09/21/2022
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 1800 S RESERVE ST
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City | MISSOULA
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State | MT
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Zip | 59801-6401
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Country | US
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Telephone | 406-233-0899
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Fax | 406-233-0897
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Provider Business Mailing Address
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Address Line | 1800 S RESERVE ST
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City | MISSOULA
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State | MT
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Zip | 59801-6401
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Country | US
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Telephone | 406-233-0899
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Fax | 406-233-0897
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOSEPH C SHURTZ
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Credential | DO
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Telephone | 406-327-4308
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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