Organization
MONTANA SPINAL SOLUTIONS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY J RUSSO MD (DELEGATED OFFICIAL)
(406) 533-9688
Entity
Organization
Contact information
Practice address
BILLINGS CLINIC, BOZEMAN, 3905 WELLNESS WAY, BOZEMAN, MT 59718
(406) 533-9688
(469) 898-1659
Mailing address
BILLINGS CLINIC, BOZEMAN, 3905 WELLNESS WAY, BOZEMAN, MT 59718
(406) 533-9688
(469) 898-1659
Taxonomy
Speciality
Code
Description
License number
State
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11747
MD LIC
MT
Enumeration date
08/14/2020
Last updated
03/21/2023
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