Organization
KALISPELL REGIONAL MEDICAL CENTER, INC
Active
Other names
Logan Health Plastic & Reconstructive Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM D GIBSON (GENERAL COUNSEL)
(406) 752-1724
Entity
Organization
Contact information
Practice address
60 FOUR MILE DR STE 10, KALISPELL, MT 59901-2663
(406) 756-2241
(406) 758-7062
Mailing address
60 FOUR MILE DR STE 10, KALISPELL, MT 59901-2663
(406) 756-2241
(406) 758-7062
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
01/21/2021
Last updated
01/21/2021
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