Anne Manktelow
Pediatric Surgery
2835 Fort Missoula Road Ste 306 Pediatric Surgery Of Montana
Missoula
, Montana 59804
Anne Manktelow
Pediatric Surgery
2835 Fort Missoula Road Ste 306 Pediatric Surgery Of Montana
Missoula
, Montana 59804
(406) 549-5928
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About
Features
Specialties
- Pediatric Surgery
Languages spoken
- English
Location
First Address
- Anne Manktelow
- Po Box 16900
- Missoula, MT
- Zip : 59808
- Fax : (406) 549-5928
- Phone : (406) 327-4620
Second Address
- Anne Manktelow
- 2835 Fort Missoula Road Ste 306 Pediatric Surgery Of Montana
- Missoula, MT
- Zip : 59804
- Phone : (406) 327-4730
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0120X | Pediatric Surgery | MT10170 | MT |
National Provider Identifier
| NPI | 1144230368 |
|---|---|
| Provider Name | Anne Manktelow |
| First Address | Missoula, MT 59808 |
| Second Address | Missoula, MT 59804 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/08/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0096560 | (05) | MT |
| F99674 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.