Organization · Type 2 NPI

Dr. Beverly L. Braak, P.c.

Medical Specialty Clinic/Center · Missoula, MT

NPI number 1770724874 Active

Practice location

2831 Fort Missoula Rd Bldg 2, Suite 203
Missoula, MT 59804-7419

Fax (406) 327-3876

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500X11310 (MT)

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

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About NPI 1770724874

Dr. Beverly L. Braak, P.c.'s National Provider Identifier is 1770724874, issued on Mar 19, 2009. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Missoula, MT. The record was last updated on Mar 19, 2009.