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Organization

RIDGWAY PLASTIC SURGERY, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EMILY RIDGWAY MD (OWNER)
(406) 586-2620
Entity
Organization

Contact information

Practice address
1188 N 15TH AVE STE 1, BOZEMAN, MT 59715
(406) 586-2620
(406) 587-2120
Mailing address
1188 N 15TH AVE STE 1, BOZEMAN, MT 59715-3290
(065) 862-6204
(406) 587-2120

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MT

Other

Enumeration date
10/02/2017
Last updated
07/12/2018
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