Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK THOMAS KLIETZ, DVM
Active Sole ProprietorVeterinarian · MISSOULA, MT
Registration Details
- NPI Number
- 1922378454
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 30, 2011 (14.370844484612 yrs)
- Last Updated
- Dec 30, 2011
- Licenses
-
1297 (MT)090.005719 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1001 E BROADWAY STSTE. #7MISSOULA, MT, 598024970Browse MT providers · Browse ZIP 59802
- Phone
- 4067280095
- Fax
- 4067280097
- Primary Specialty
-
Veterinarian
174M00000X
- Additional Specialty
- Veterinarian
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.