| NPI | 1639886823 |
|---|---|
| Other Name | MOUNTAIN WEST PLASTIC SURGERY |
| Entity Type | Organization |
| Authorized Contact | MICHELLE SPRING Co Owner 406-609-0210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Additional Taxonomies | 208200000X Plastic Surgery |
| Enumeration Date | 2022-10-28 |
| Last Update Date | 2022-12-13 |