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NPI Code Detail

MEDICARE: CHRISTY STURM

MEDICARE:   CHRISTY  STURM
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
1124Q00000XDental Hygienist1364MT

General Provider Information

NPI Number : 1144041716
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTY STURM
Provider Business Mailing Address
First Line : 4005 YORKSHIRE PL
Second Line :
City : MISSOULA
State : MT
Zip : 59808-5899
Country : US
Telephone Number : 406-490-3663
Fax Number :
Provider Business Practice Location Address
First Line : 4005 YORKSHIRE PL
Second Line :
City : MISSOULA
State : MT
Zip : 59808-5899
Country : US
Telephone Number : 406-490-3663
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2024
Last Update Date : 10/17/2024

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Directions to “ CHRISTY STURM ” Practice Location

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