Most Relevant Information
Provider Data
| NPI Number: | 1003309667 |
| Provider Name: | SHAWN ROBERTSON L.AC |
| Entity Type: | Individual |
| Taxonomy Code: | 171100000X |
| Specialty: | Acupuncturist |
| License Number: | MED-ACU-LIC-67145 |
Most Important Dates
| Enumeration Date: | 06/08/2018 |
| Last Updated: | 03/20/2024 |
Provider Practice Location
1001 SW HIGGINS AVE STE 104
MISSOULA
MT
598031340
Practice Location Phone/Fax
| Phone: | 4065400081 |
| Fax: | 4062840678 |
Provider Mailing Location
1001 SW HIGGINS AVE STE 104
MISSOULA
MT
598031340
Provider Mailing Phone/Fax
| Phone: | 4065400081 |
| Fax: | 4062840678 |