Montana Cardiothoracic Assist

Organization Active NPI Physician Assistant · Conrad, MT

NPI 1619429511 · NPPES record last updated Oct 27, 2016

Key facts

NPI
1619429511
Entity type
Organization (NPI type 2)
Primary specialty
Physician Assistant 363A00000X
License
MED-PAC-43492 (MT)
Legal business name
MONTANA CARDIOTHORACIC ASSIST
Practice address
306 S Minnesota St
Conrad, MT 59425-2412
Phone
(928) 846-5869
NPI assigned
Oct 27, 2016
Organization subpart
No

Authorized official

Name
Mr. Norman Lee Walker, PA-C
Title
Administrator/ Physician Assistant
Phone
(928) 846-5869

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant
Group: 193200000X MULTI-SPECIALTY GROUP
363A00000X MED-PAC-43492 MT Yes

Addresses

Primary practice location

306 S Minnesota St
Conrad, MT 59425-2412

Mailing address

306 S Minnesota St
Conrad, MT 59425-2412
Phone (928) 846-5869

Other providers in Conrad, MT

All providers in Conrad, MT · Physician Assistant in Montana

Sources for this page

Verify at the official NPI Registry.