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Timothy Radle, L.C.P.C

NPI 1205011020 · on the registry since 2007 · sole proprietor

Practice

Address
1515 E. Broadway
Missoula, MT 59802
Phone
(406) 728-5353
Fax
(406) 728-9628

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
MT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-12-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Montana