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NPI Code Detail

MEDICARE: PROFESSIONAL CENTER LLP

MEDICARE: PROFESSIONAL CENTER LLP
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
1174400000XSpecialist

General Provider Information

NPI Number : 1942361258
Entity Type Code : Organization
Provider Name (Legal Business Name) : PROFESSIONAL CENTER LLP
Provider Business Mailing Address
First Line : PO BOX 1459
Second Line :
City : COLUMBIA FALLS
State : MT
Zip : 59912-1459
Country : US
Telephone Number : 406-892-3208
Fax Number :
Provider Business Practice Location Address
First Line : 2165 9TH ST W
Second Line :
City : COLUMBIA FALLS
State : MT
Zip : 59912-4416
Country : US
Telephone Number : 406-892-3208
Fax Number :
Authorized Official
Title or Position : OFFICE COORDINATOR
Name : RHONDA TALLMAN
Credential :
Telephone Number : 406-892-3208
Provider Enumeration Date : 12/12/2006
Last Update Date : 10/09/2008

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Directions to “PROFESSIONAL CENTER LLP ” Practice Location

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