BODEE RAE ALT

PROVIDENCE HEALTH AND SERVICES MT

Dr BODEE RAE ALT is a male medical professional, specializing in Nurse Practitioner. He graduated in 2015.

Contact

PROVIDENCE HEALTH AND SERVICES MT

500 W BROADWAY ST
SUITE 310
MISSOULA
MT
598024012

Tel: 4067286520

BODEE RAE ALT Information

Npi 1174993703
Pac Id 6709195225
Professional Enrollment Id I20151023002154
Last Name ALT
First Name BODEE
Middle Name RAE
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2015
Primary Specialty NURSE PRACTITIONER
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 SUITE 310
Marker Of Address Line 2 Suppression
City MISSOULA
State MT
Zip Code 598024012
Phone Number 4067286520
Hospital Affiliation Ccn 1 270014
Hospital Affiliation Lbn 1 ST. PATRICK HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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