Organization
GALLATIN PLASTIC SURGERY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARRED MCDANIEL M.D. (OWNER)
(406) 577-2346
Entity
Organization
Contact information
Practice address
300 N WILLSON AVE, SUITE 300C, BOZEMAN, MT 59715-3551
(406) 577-2346
(866) 404-8715
Mailing address
PO BOX 10095, BOZEMAN, MT 59719-0095
(406) 577-2346
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
27907
MT
261QA1903X
Ambulatory Surgical Clinic/Center
27907
MT
Other
Enumeration date
05/17/2016
Last updated
02/23/2017
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