Organization
GREAT FALLS SURGICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DALE R MORTENSON MD (PARTNER)
(406) 452-0877
Entity
Organization
Contact information
Practice address
400 13TH AVE S, STE 102, GREAT FALLS, MT 59405
(406) 452-0877
(406) 452-2989
Mailing address
400 13TH AVE S, STE 102, GREAT FALLS, MT 59405
(406) 452-0877
(406) 452-2989
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CK4565
RR MEDICARE GROUP NO.
MT
Enumeration date
02/20/2007
Last updated
04/08/2010
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