Organization Name: | SAGE MEDICAL CLINIC PC |
NPI Number: | 1639399009 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHERI S HOWELL (MEDICAL DOCTOR) |
Mailing Address: | 820 N. Montana Ave Helena |
State: | MT US |
Postal Code: | 59601 |
Phone Number: | 4064437733 |
Fax Number: | 4064438292 |
NPI Enumeration Date: | 04/26/2007 |
NPI Last Update Date: | 01/07/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 6121 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |