Provider Demographics
NPI:1154693729
Name:STONE, ALYSSA M (PA-C)
Entity type:Individual
Prefix:
First Name:ALYSSA
Middle Name:M
Last Name:STONE
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Gender:
Credentials:PA-C
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:350 HERITAGE WAY
Mailing Address - Street 2:SUITE 2100
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901-3158
Mailing Address - Country:US
Mailing Address - Phone:406-257-8992
Mailing Address - Fax:406-755-4161
Practice Address - Street 1:350 HERITAGE WAY
Practice Address - Street 2:SUITE 2100
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-3158
Practice Address - Country:US
Practice Address - Phone:406-257-8992
Practice Address - Fax:406-755-4161
Is Sole Proprietor?:No
Enumeration Date:2012-01-30
Last Update Date:2025-03-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
COPA.0009103363A00000X
NVPA1326363A00000X
MT32466363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant