# GREAT FALLS OBSTETRICAL AND GYNECOLOGICAL ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336184928
- **Authorized official:** DEBBIE J JOHNSON (OFFICE MANAGER)
- **Authorized official phone:** (406) 761-7924

## Contact information

- **Practice address:** 1400 29TH ST S STE 101, GREAT FALLS, MT 59405-5316
- **Practice address phone:** (406) 761-7924
- **Practice address fax:** (406) 761-7945
- **Mailing address:** 1400 29TH ST S STE 101, GREAT FALLS, MT 59405-5316
- **Mailing address phone:** (406) 761-7924
- **Mailing address fax:** (406) 761-7945

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/18/2006
- **Last updated:** 06/02/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0817880001 | DMERC | MT |
