| NPI | 1720477953 |
|---|---|
| Doing Business As | PROVIDENCE MEDICAL GROUP MONTANA NEUROSURGICAL SPECIALISTS |
| Entity Type | Organization |
| Authorized Contact | DONALD W ANDERSON Dir Reimb Reg Strat/Asst Sec Enroll 425-525-5392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MT 9574) |
| Enumeration Date | 2015-01-12 |
| Last Update Date | 2021-10-22 |