Organization
ORTHOPEDIC SURGICAL CENTER OF MONTANA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK DEIBERT M.D. (PRESIDENT)
(406) 581-9765
Entity
Organization
Contact information
Practice address
536 S COTTONWOOD RD, STE. 100, BOZEMAN, MT 59718-9515
(406) 586-8029
Mailing address
536 S COTTONWOOD RD, STE. 100, BOZEMAN, MT 59718-9515
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
03/22/2017
Last updated
03/22/2017
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