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Organization

GREAT FALLS ORTHOPAEDIC ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GREGORY S TIERNEY M.D. (CORPORATE VICE PRESIDENT)
(406) 455-3650
Entity
Organization

Contact information

Practice address
1401 25TH ST S, GREAT FALLS, MT 59405-6306
(406) 455-3650
(406) 455-3695
Mailing address
PO BOX 6988, 1401 25TH ST S, GREAT FALLS, MT 59406-6988
(406) 455-3650
(406) 455-3695

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0027504
WASHINGTON L &
MT
01
C01390
RAILROAD MEDICARE
MT
Enumeration date
06/05/2006
Last updated
04/21/2010
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