| NPI | 1972811768 |
|---|---|
| Doing Business As | PMG MT GENERAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | TERI MASTERS Rcm Operations Mgr 406-329-5795 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2086S0129X |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) | |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2011-07-22 |