NPI 1619292901
Mtink
Practice location
- Address
- 2710 Brooks St Suite 2, Missoula, MT 59801-7868
- Phone
- (406) 544-7873
Authorised official
- Name
- Guy Robert Silvernale
- Title
- Manager
- Phone
- (406) 544-7873
Registered specialties
Non-Pharmacy Dispensing Site
Primary
Registry record
- NPI
- 1619292901
- Entity type
- Organization
- NPI issued
- 30 Mar 2010
- Record last updated
- 30 Mar 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.