| NPI | 1720477953 |
|---|---|
| Doing Business As | PROVIDENCE MEDICAL GROUP MONTANA NEUROSURGICAL SPECIALISTS |
| Doing Business As | PROVIDENCE MEDICAL GROUP MONTANA |
| Entity Type | Organization |
| Authorized Contact | DONALD W ANDERSON Assistant Secretary Enrollments 425-358-9786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MT 9574) |
| Enumeration Date | 2015-01-12 |
| Last Update Date | 2025-05-07 |