Timothy N Street, PA C
NPI #1285635136 in Great Falls, Montana
Provider Information
- NPI Number
- 1285635136
- Entity Type
- Individual
- Name
- Timothy N Street, PA C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA C
- Enumeration Date
- Aug 2, 2005
- Last Updated
- Aug 12, 2011
Practice Location
- Address
- 1600 DIVISION RD
- City
- Great Falls
- State
- Montana
- ZIP Code
- 59404-1921
- Phone
- (406) 268-1600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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