NPI 1013248863

Mary Russell, MSOTRL

Practitioner Specialist Plains, MT

Practice location

Address: 10 Kruger Rd, Plains, MT 59859-9271
Phone: (406) 493-5602
Mailing address: PO Box 1658, Plains, MT 59859-1658

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 1065 (MT)

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Registry record

NPI: 1013248863
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Jan 2010
Record last updated: 19 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.