Organization
ALPINE ORTHOPEDICS & SPORTS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK C DEIBERT MD (PRESIDENT)
(406) 586-8029
Entity
Organization
Contact information
Practice address
536 COTTONWOOD RD, SUITE 100, BOZEMAN, MT 59718
(406) 586-8029
(406) 586-8009
Mailing address
536 COTTONWOOD RD, SUITE 100, BOZEMAN, MT 59718
(406) 586-8029
(406) 586-8009
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
8221
MT
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
207XX0801X
Orthopaedic Trauma Physician
—
—
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
08/12/2006
Last updated
10/27/2011
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