The Laurel Clinic Pllc

NPI #1710168596 in Laurel, Montana

Provider Information

NPI Number: 1710168596
Entity Type: Organization
Organization Name: The Laurel Clinic Pllc
Primary Specialty: Family Medicine
Enumeration Date: Nov 20, 2007
Last Updated: Nov 20, 2007

Practice Location

Address: 319 1ST AVE
City: Laurel
State: Montana
ZIP Code: 59044-3031
Phone: (406) 628-4955

Authorized Official

Name: DR. ROBERT BRUCE VANNICE, M.D.
Title: OWNER
Phone: (406) 628-4955

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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