Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0201X | Internist - Allergy & Immunology | 11970 | MT |
NPI | 1184761454 |
---|---|
Provider Name | Carol Therese Cady |
First Address | Missoula, MT 59807-7609 |
Second Address | Missoula, MT 59802-4008 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2007 |
Last Update Date | 04/05/2020 |