Organization · NPI-2
Alpine Orthopedics & Sports Medicine
Orthopaedic Surgery, Sports Medicine · Bozeman, MT
NPI number1083626832
StatusActive
Last updated in NPPESOct 27, 2011
Details
- NPI
- 1083626832
- Entity type
- Organization (NPI-2)
- Legal business name
- Alpine Orthopedics & Sports Medicine
- Organization subpart
- No
- Enumeration date
- Aug 12, 2006
- Last updated
- Oct 27, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207XX0005X | Orthopaedic Surgery, Sports Medicine | – | – | Yes |
| 207XX0005X | Orthopaedic Surgery, Sports Medicine | 8221 | MT | |
| 207QS0010X | Family Medicine, Sports Medicine | – | – | |
| 207XX0801X | Orthopaedic Surgery, Orthopaedic Trauma | – | – | |
| 363AM0700X | Physician Assistant, Medical | – | – | |
| 363AS0400X | Physician Assistant, Surgical | – | – |
Practice location
536 Cottonwood RdSuite 100
Bozeman, MT 59718
Phone 406-586-8029 · Fax 406-586-8009
Mailing address
536 Cottonwood RdSuite 100
Bozeman, MT 59718
Phone 406-586-8029 · Fax 406-586-8009
Authorized official
Mark C Deibert
President
4065868029
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