Individual provider · Type 1 NPI

Timothy N. Street, PA C

Medical Physician Assistant · Great Falls, MT

NPI number 1285635136 Active

Practice location

1600 Division Rd
Great Falls, MT 59404-1921

Call (406) 268-1600 Map

Fax (406) 771-3549

Mailing address

1400 29th St S
Great Falls, MT 59405-5353

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X143 (MT)

Medical Physician Assistant: Definition to come...

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About NPI 1285635136

Timothy N. Street, PA C's National Provider Identifier is 1285635136, issued on Aug 2, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Great Falls, MT. The record was last updated on Aug 12, 2011.