NPI 1003486002

Stephanie K Eastburn, PAC

Practitioner Physician Assistant Kalispell, MT

Practice location

Address: 320 Sunnyview Ln, Kalispell, MT 59901-3129
Phone: (406) 752-7441
Fax: (406) 257-0304

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 99517 (MT)

Other Physician Assistant providers in Montana →

Registry record

NPI: 1003486002
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Jun 2021
Record last updated: 30 Jun 2021

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.