NPI 1104119395
Roy E. Pack, BS
Practice location
- Address
- 614 Juniper Ave, Laurel, MT 59044-2512
- Phone
- (406) 702-3455
Registered specialties (2)
Health & Wellness Coach
Primary
Case Manager/Care Coordinator
Registry record
- NPI
- 1104119395
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 19 May 2011
- Record last updated
- 12 Oct 2022
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.