Organization
SOUTHEASTERN MONTANA SURGICAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID J KADERIS D.O. (PRESIDENT)
(406) 233-3030
Entity
Organization
Contact information
Practice address
2600 WILSON ST, MILES CITY, MT 59301-5094
(406) 233-3030
(406) 233-3032
Mailing address
PO BOX 188, MILES CITY, MT 59301-0188
(406) 233-3030
(406) 233-3032
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
7804
MT
Other
Enumeration date
12/29/2009
Last updated
12/29/2009
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