Provider First Line Business Practice Location Address:
634 EDDY AVE
Provider Second Line Business Practice Location Address:
CURRY HEALTH CENTER, THE UNIVERSITY OF MONTANA
Provider Business Practice Location Address City Name:
MISSOULA
Provider Business Practice Location Address State Name:
MT
Provider Business Practice Location Address Postal Code:
59812-1851
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
406-243-5445
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/18/2007