Organization · NPI-2
Montana Spinal Solutions PLLC
Clinic/Center · Bozeman, MT
NPI number1376154039
StatusActive
Last updated in NPPESMar 21, 2023
Details
- NPI
- 1376154039
- Entity type
- Organization (NPI-2)
- Legal business name
- Montana Spinal Solutions PLLC
- Organization subpart
- No
- Enumeration date
- Aug 14, 2020
- Certification date
- Mar 20, 2023
- Last updated
- Mar 21, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
| 2084N0008X | Psychiatry & Neurology, Neuromuscular Medicine | – | – |
Practice location
Billings Clinic, Bozeman3905 Wellness Way
Bozeman, MT 59718
Phone 406-533-9688 · Fax 469-898-1659
Mailing address
Billings Clinic, Bozeman3905 Wellness Way
Bozeman, MT 59718
Phone 406-533-9688 · Fax 469-898-1659
Authorized official
Anthony J Russo
Delegated Official
4065339688
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