Organization · Type 2 NPI

East Lakeside Clinic

Primary Care Clinic/Center · Bigfork, MT

NPI number 1639552235 Active

Practice location

7935 Mt Highway 35 Ste 201
Bigfork, MT 59911-5711

Mailing address

7935 Mt Hwy 35 Ste 201
Bigfork, MT 59911

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300X10172 (MT)

Primary Care Clinic/Center: Definition to come...

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About NPI 1639552235

East Lakeside Clinic's National Provider Identifier is 1639552235, issued on Jul 1, 2015. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Bigfork, MT. The record was last updated on Jul 1, 2015.