Individual provider · Type 1 NPI

Alexis Vantiem, PA-C

Physician Assistant · Superior, MT

NPI number 1124706627 Active

Practice location

1208 6th Ave. E
Superior, MT 59872

Fax (406) 822-3848

Mailing address

P.o. Box 66
Superior, MT 59872

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XMED-PAC-LIC-145618 (MT)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1124706627

Alexis Vantiem, PA-C's National Provider Identifier is 1124706627, issued on Jul 6, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Superior, MT. The record was last updated on Dec 1, 2025.