Organization
MISSOULA BONE & JOINT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SAMANTHA SPENCER CEO (ADMINISTRATOR)
(406) 721-4436
Entity
Organization
Contact information
Practice address
2360 MULLAN RD, SUITE C, MISSOULA, MT 59808-1811
(406) 721-4436
(406) 721-6053
Mailing address
2360 MULLAN RD, SUITE C, MISSOULA, MT 59808-1811
(406) 721-4436
(406) 721-6053
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
05/27/2006
Last updated
12/03/2015
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