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Organization
NORTHWEST PLASTIC SURGERY ASSOCIATES, PLLC
Active
Organization
NORTHWEST PLASTIC SURGERY ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN P HARDY M.D. (OWNER)
(406) 728-3811
Entity
Organization
Contact information
Practice address
2802 GREAT NORTHERN LOOP, MISSOULA, MT 59808-1738
(406) 728-3811
(406) 721-9141
Mailing address
2802 GREAT NORTHERN LOOP, MISSOULA, MT 59808-1738
(406) 728-3811
(406) 721-9141
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
9593
MT
Other
Enumeration date
05/09/2006
Last updated
04/09/2008
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