Organization
BACK AND NECK CLINIC OF GREAT FALLS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN CHARLES OTHEIM D.C. (PRESIDENT)
(406) 771-8431
Entity
Organization
Contact information
Practice address
205 9TH AVE S, SUITE 105, GREAT FALLS, MT 59405-4071
(406) 771-8431
(406) 771-8432
Mailing address
205 9TH AVE S, SUITE 105, GREAT FALLS, MT 59405-4071
(406) 771-8431
(406) 771-8432
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
941
MT
Other
Enumeration date
01/11/2008
Last updated
06/05/2024
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