Organization · Type 2 NPI

Dr. Mage R. Lee

Clinic/Center · Missoula, MT

NPI number 1952817439 Active

Practice location

1203 Mount Ave
Missoula, MT 59801-5601

Specialties and licenses

Taxonomy	Code	License
Clinic/Center Primary	261Q00000X	None listed
Health Service Clinic/Center	261QH0100X	None listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

9 other providers at this address

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NPI record

NPI: 1952817439
Entity type: Organization (Type 2)
Issued: Dec 20, 2017
Last updated: Mar 20, 2018
Status: Active

Other names

<unavail>
Marquardt Chiropractic Clinic · doing business as
Marquardt Chiropractic Clinic · doing business as

Authorized official

Mage R Lee, DC
Owner
(406) 543-5251

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1952817439

Dr. Mage R. Lee's National Provider Identifier is 1952817439, issued on Dec 20, 2017. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Missoula, MT. The record was last updated on Mar 20, 2018.