| NPI | 1952727612 |
|---|---|
| Doing Business As | GLACIER VIEW PLASTIC SURGERY |
| Entity Type | Organization |
| Authorized Contact | WILLIAM D GIBSON General Counsel 406-752-1724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2014-03-05 |
| Last Update Date | 2023-11-27 |