institution
Facial Plastic And Reconstructive Surgery Montana Pc
Ambulatory Surgical Clinic/Center in Missoula, Montana
NPI 1407116338

Facial Plastic And Reconstructive Surgery Montana Pc is an Ambulatory Surgical Clinic/Center based in Missoula, MT and is specialized in Ambulatory Surgical. Facial Plastic And Reconstructive Surgery Montana Pc practices in Missoula, MT. The NPI Number for Facial Plastic And Reconstructive Surgery Montana Pc is 1407116338 and holds a License No. 12580 (Montana).

The current practice location address for Facial Plastic And Reconstructive Surgery Montana Pc is 805 S Reserve St, Missoula, MT and can be reached out via phone at 406-549-6600 and via fax at 406-549-1511.

Location: 805 S Reserve St, Missoula, MT, 59801-2104
institution
Provider Profile Details
NPI Number
1407116338
Provider Name
Facial Plastic And Reconstructive Surgery Montana Pc
Credential
Provider Entity Type
Organization
Address
805 S Reserve St, Missoula, MT, 59801-2104
Phone Number
406-549-6600
Fax Number
406-549-1511
Provider Enumeration Date
05/25/2012
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
261QA1903X 01 TAXONOMY
60882 01 MT BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
805 S Reserve St
City
State
Zip
59801-2104
Phone Number
406-549-6600
Fax Number
406-549-1511
person
Provider Business Mailing Address Details
Address
805 S Reserve St
City
State
Zip
59801-2104
Phone Number
406-549-6600
Fax Number
406-549-1511
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
12580 (Montana)
Definition
Definition to come...
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