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FACIAL PLASTIC & RECONSTRUCTIVE SURGERY MONTANA PC

Surgery Yellow Pages

Missoula, Montana

Provider NPI: 1134286883

Organization Information:
Organization Name:  FACIAL PLASTIC & RECONSTRUCTIVE SURGERY MONTANA PC


Practice Location:
805 S RESERVE ST  MISSOULA, MT 59801 US
Tel: 406-549-6600  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QS0112XAmbulatory Health Care Facilities
Clinic/Center
Oral and Maxillofacial Surgery
MT11479

Other Provider Identifiers:

IssuerNumberStateType
1134286883MT05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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