Mercury Street Medical Group Pllc

NPI #1619054681 in Butte, Montana

Provider Information

NPI Number: 1619054681
Entity Type: Organization
Organization Name: Mercury Street Medical Group Pllc
Primary Specialty: Physician Assistant
Enumeration Date: Nov 1, 2006
Last Updated: May 18, 2012

Practice Location

Address: 300 W MERCURY ST
City: Butte
State: Montana
ZIP Code: 59701-1652
Phone: (406) 723-1300

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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