# BIG SKY COSMETIC SURGERY, PC

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

## Provider details

- **NPI number:** 1770681991
- **Authorized official:** DR. HUGH ELLIOTT HETHERINGTON M.D. (PRESIDENT/OWNER)
- **Authorized official phone:** (406) 522-3770

## Contact information

- **Practice address:** 925 HIGHLAND BLVD, SUITE 1190, BOZEMAN, MT 59715-6900
- **Practice address phone:** (406) 522-3770
- **Practice address fax:** (406) 586-5412
- **Mailing address:** 925 HIGHLAND BLVD, SUITE 1190, BOZEMAN, MT 59715-6900
- **Mailing address phone:** (406) 522-3770
- **Mailing address fax:** (406) 586-5412

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YS0123X | Facial Plastic Surgery Physician | 6361 | MT | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 08/22/2020