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1316720162
FAMILY DERMATOLOGY PLLC
MISSOULA, MT
NPI
1316720162
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Entity Type
Organization
Authorized Contact
TROY DAVIS
Physician Assistant
253-948-8165
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
Enumeration Date
2023-08-16
Last Update Date
2024-01-24
Business Address
FAMILY DERMATOLOGY PLLC
2835 FORT MISSOULA RD STE 302
MISSOULA, MT 59804-7424
Phone number: 406-721-3497
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Mailing Address
FAMILY DERMATOLOGY PLLC
1104 ALLENWHITE DR
RICHLAND, WA 99352-9402
Phone number: 253-948-8165
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