Provider First Line Business Practice Location Address:
107 H ST EAST
Provider Second Line Business Practice Location Address:
DHHS-IHS-POPLAR HEALTH CLINIC
Provider Business Practice Location Address City Name:
POPLAR
Provider Business Practice Location Address State Name:
MT
Provider Business Practice Location Address Postal Code:
59255
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
406-768-2150
Provider Business Practice Location Address Fax Number:
406-768-3603
Provider Enumeration Date:
06/04/2006