NPI 1043225469
Joel a Brake, MD
Practice location
- Address
- 3205 S Russell St, Missoula, MT 59801-8536
- Phone
- (406) 549-2203
Registered specialties
Diagnostic Radiology Physician
Primary
Registry record
- NPI
- 1043225469
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 31 Jul 2006
- Record last updated
- 2 May 2011
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.