Organization
CANYON CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES J. KOSTECKI DC (PRESIDENT)
(406) 363-3333
Entity
Organization
Contact information
Practice address
605 S 1ST ST, HAMILTON, MT 59840-2812
(406) 363-3333
Mailing address
PO BOX 1316, HAMILTON, MT 59840-1316
(406) 363-3333
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1044
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154484467
MEDICARE
MT
Enumeration date
12/18/2006
Last updated
01/26/2015
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