Organization
MONTANA STATE UNIVERSITY - BILLINGS
Active
Other names
MUSB Sports Medicine, MSUB Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTA LEA MONTAGUE (AUTHORIZED OFFICIAL)
(406) 657-2061
Entity
Organization
Contact information
Practice address
1500 UNIVERSITY DR, BILLINGS, MT 59101-0245
(406) 657-2369
Mailing address
5050 SPRING VALLEY RD, DALLAS, TX 75244-3995
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
Other
Enumeration date
09/13/2019
Last updated
09/13/2019
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