Mercury Street Medical Group Pllc

NPI #1104830793 in Butte, Montana

Provider Information

NPI Number: 1104830793
Entity Type: Organization
Organization Name: Mercury Street Medical Group Pllc
Subpart: Yes (part of a larger organization)
Parent Organization: MERCURY STREET MEDICAL GROUP PLLC
Primary Specialty: Legal Medicine
Enumeration Date: Jul 28, 2006
Last Updated: May 18, 2012

Practice Location

Address: 3703 HARRISON AVE
City: Butte
State: Montana
ZIP Code: 59701-6897
Phone: (406) 494-3768

Authorized Official

Name: MR. SCOTT G BUTLER
Title: ADMINISTRATOR
Phone: (406) 723-1300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Legal Medicine	173000000X	Primary

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