Alexis Vantiem, PA-C

NPI #1124706627 in Superior, Montana

Provider Information

NPI Number: 1124706627
Entity Type: Individual
Name: Alexis Vantiem, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jul 6, 2023
Last Updated: Dec 1, 2025

Practice Location

Address: 1208 6TH AVE. E
City: Superior
State: Montana
ZIP Code: 59872
Phone: (406) 822-4803

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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