| NPI | 1487339750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE SUPRENANT Plastic And Reconstructive Surgeon 406-370-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Additional Taxonomies | 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck |
| 2082S0105X Plastic Surgery, Surgery of the Hand | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery | |
| Enumeration Date | 2023-06-15 |
| Last Update Date | 2023-10-06 |