Individual
DR. GUS KONSTANTINE GEORGE VARNAVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 W PENNSYLVANIA AVE, ANACONDA, MT 59711-1931
(406) 563-8500
Mailing address
401 W PENNSYLVANIA AVE, ANACONDA, MT 59711-1931
(406) 563-8500
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
8341
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053418582
NPI
MT
05
—
1053418582
—
MT
01
—
8341
STATE LICENSE
MT
Enumeration date
09/19/2006
Last updated
04/06/2017
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