NPI 1407366545

Glacier Dermatology PC

Organisation Dermatology Physician Kalispell, MT

Practice location

Address: 40 Four Mile Dr STE 7, Kalispell, MT 59901-2655
Phone: (406) 314-6336

Authorised official

Name: Sylvia a Owen
Title: Physician/Owner
Phone: (406) 314-6336

Registered specialties (2)

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 10806 (MT)

Other Dermatology providers in Montana →

Dermatology Physician

Allopathic & Osteopathic Physicians Taxonomy 207N00000X

Registry record

NPI: 1407366545
Entity type: Organization
NPI issued: 3 Oct 2017
Record last updated: 12 Dec 2017

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.