STEPHANIE ELIZABETH CARL

MISSOULA, MT
NPI1205468725
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: MT  MED-PAC-LIC-80026)
Enumeration Date2020-02-12
Last Update Date2020-03-04
Business Address
STEPHANIE ELIZABETH CARL Physician Assistant
500 W BROADWAY ST
MISSOULA, MT 59802-4008
Phone number: 406-329-5615
Mailing Address
STEPHANIE ELIZABETH CARL Physician Assistant
500 W BROADWAY ST STE 320
MISSOULA, MT 59802-4003
Phone number: 406-329-5615