MEDICARE: CLAIRE A FROST M.D.

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
1	207Q00000X	Family Medicine Physician	MD 60587328	WA
2	207Q00000X	Family Medicine Physician	ML 113855	AK
3	207Q00000X	Family Medicine Physician	80538	MT

General Provider Information

NPI Number	:	1235571993
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAIRE A FROST M.D.

Provider Business Mailing Address
First Line	:	PO BOX 12
Second Line	:
City	:	LIBERTY LAKE
State	:	WA
Zip	:	99019-0012
Country	:	US
Telephone Number	:	866-747-2455
Fax Number	:

Provider Business Practice Location Address
First Line	:	1211 S RESERVE ST STE 101
Second Line	:
City	:	MISSOULA
State	:	MT
Zip	:	59801-3103
Country	:	US
Telephone Number	:	406-327-3057
Fax Number	:	406-327-3231

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/23/2013
Last Update Date	:	12/06/2019

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