| NPI | 1598776643 |
|---|---|
| Doing Business As | SUPPLEMENTAL CARDIOVASCULAR SURGERY |
| Entity Type | Organization |
| Authorized Contact | GUY T. HAYTER Executive Director 406-268-0082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2020-08-22 |