CAMILLA E JUHL-PETERSEN

PROVIDENCE HEALTH AND SERVICES MT

Dr CAMILLA E JUHL-PETERSEN is a female medical professional, specializing in Family Medicine. She graduated in 2011.

Contact

PROVIDENCE HEALTH AND SERVICES MT

500 W BROADWAY ST
MISSOULA
MT
598024008

Tel: 4065437271

CAMILLA E JUHL-PETERSEN Information

Npi 1073809232
Pac Id 2769637768
Professional Enrollment Id I20171107001581
Last Name JUHL-PETERSEN
First Name CAMILLA
Middle Name E
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2011
Primary Specialty FAMILY MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name PROVIDENCE HEALTH AND SERVICES MT
Group Practice Pac Id 6608786306
Number Of Group Practice Members 181
Line 1 Street Address 500 W BROADWAY ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City MISSOULA
State MT
Zip Code 598024008
Phone Number 4065437271
Hospital Affiliation Ccn 1 270014
Hospital Affiliation Lbn 1 ST. PATRICK HOSPITAL
Hospital Affiliation Ccn 2 271340
Hospital Affiliation Lbn 2 MARCUS DALY MEMORIAL HOSPITAL - CAH
Hospital Affiliation Ccn 3 270017
Hospital Affiliation Lbn 3 ST JAMES HEALTHCARE
Hospital Affiliation Ccn 4 271335
Hospital Affiliation Lbn 4 COMMUNITY HOSPITAL OF ANACONDA
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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