FACIAL PLASTIC AND RECONSTRUCTIVE SURGERY MONTANA PC

MISSOULA, MT
NPI1407116338
Doing Business AsCOSMETIC SURGICAL ARTS CENTER
Entity TypeOrganization
Authorized ContactCLARK O TAYLOR
Owner
406-549-6600
Organization Subpart ?No
Primary Taxonomy261QA1903X Clinic/Center Ambulatory Surgical
(Licence: MT  12580)
Enumeration Date2012-05-25
Last Update Date2015-01-23
Business Address
FACIAL PLASTIC AND RECONSTRUCTIVE SURGERY MONTANA PC
805 S RESERVE ST
MISSOULA, MT 59801-2104
Phone number: 406-549-6600
Mailing Address
FACIAL PLASTIC AND RECONSTRUCTIVE SURGERY MONTANA PC
805 S RESERVE ST
MISSOULA, MT 59801-2104
Phone number: 406-549-6600