person
Timothy N Street, PAC
Medical Physician Assistant in Great Falls, Montana
NPI 1285635136

Timothy N Street is a Medical Physician Assistant based in Great Falls, MT and is specialized in Medical. Timothy N Street practices in Great Falls, MT and has the professional credentials of PAC. The NPI Number for Timothy N Street is 1285635136 and holds a License No. 143 (Montana).

The current practice location address for Timothy N Street is 1600 Division Rd, Great Falls, MT and can be reached out via phone at 406-268-1600 and via fax at 406-771-3549.

Location: 1600 Division Rd, Great Falls, MT, 59405-5353
person
Provider Profile Details
NPI Number
1285635136
Provider Name
Timothy N Street
Credential
PAC
Provider Entity Type
Individual
Gender
Male
Address
1600 Division Rd, Great Falls, MT, 59405-5353
Phone Number
406-268-1600
Fax Number
406-771-3549
Provider Enumeration Date
08/02/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0436800 05 MT
institution
Provider Business Practice Location Address Details
Address
1600 Division Rd
City
State
Zip
59404-1921
Phone Number
406-268-1600
Fax Number
406-771-3549
person
Provider Business Mailing Address Details
Address
1600 Division Rd
City
State
Zip
59404-1921
Phone Number
406-268-1600
Fax Number
406-771-3549
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
143 (Montana)
Definition
Definition to come...
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