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COTY HOLM

Surgical Physician Assistant

NPI: 1902453855IndividualAccepts Medicare

Specialties, Licenses & Credentials

Surgical Physician AssistantPrimary

Physician Assistant — Surgical

Code: 363AS0400X

MED-PAC-LIC-91036(MT)
Student in an Organized Health Care Education/Training Program

Student in an Organized Health Care Education/Training Program

Code: 390200000X

CMS Specialties

Education

OTHER

Class of 2020

Contact & Hours

Via practice · 2 locations total

Address
500 W BROADWAY ST, STE 320
MISSOULA, MT 59802

Quick Facts

NPI
1902453855
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
2
Locations
2
Years in Practice
6

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