NPI 1114326691
Jeff Waters
Practice location
- Address
- 2809 Great Northern Loop #200, Missoula, MT 59808-1749
- Phone
- (406) 830-0680
- Mailing address
- 4265 Muggle Ln, Missoula, MT 59808-5200
Registered specialties
Clinical Laboratory Director (Non-physician)
Primary
Registry record
- NPI
- 1114326691
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 20 Aug 2014
- Record last updated
- 20 Aug 2014
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.