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NPI Code Detail

MEDICARE: NEUROLOGICAL ASSOCIATES, PC

MEDICARE: NEUROLOGICAL ASSOCIATES, PC
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
1207T00000XNeurological Surgery Physician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1CE8579OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
227T5427OTHERMTBLUE CROSS BLUE SHIELD
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1770577579
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEUROLOGICAL ASSOCIATES, PC
Provider Business Mailing Address
First Line : 500 WEST BROADWAY STREET
Second Line : SUITE 310
City : MISSOULA
State : MT
Zip : 59802-4012
Country : US
Telephone Number : 406-728-6520
Fax Number :
Provider Business Practice Location Address
First Line : 500 WEST BROADWAY STREET
Second Line : SUITE 310
City : MISSOULA
State : MT
Zip : 59802-4012
Country : US
Telephone Number : 406-728-6520
Fax Number :
Authorized Official
Title or Position : PRACTICE MANAGER
Name : MS. KATHLEEN RYAN
Credential :
Telephone Number : 406-728-6520
Provider Enumeration Date : 09/07/2005
Last Update Date : 01/31/2008

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Directions to “NEUROLOGICAL ASSOCIATES, PC ” Practice Location

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