Whalio Doctors

NPI 1306177092

Susan H. Avery, MD, PC

Organisation Family Medicine Physician Great Falls, MT

Practice location

Address
401 15th Ave S STE 110, Great Falls, MT 59405-4334
Phone
(406) 761-2399
Fax
(406) 761-1992

Authorised official

Name
Susan Hoppock Avery
Title
President
Phone
(406) 761-2399

Registered specialties

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 3884 (MT)

Registry record

NPI
1306177092
Entity type
Organization
NPI issued
20 Jan 2010
Record last updated
20 Jan 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.