Organization
SAME DAY SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA L CONVERSE RN CMSRN (CLINICAL DIRECTOR)
(406) 586-1956
Entity
Organization
Contact information
Practice address
300 NORTH WILLSON, STE 600F, BOZEMAN, MT 59715
(406) 586-1956
(406) 587-7656
Mailing address
300 NORTH WILLSON, STE 600F, BOZEMAN, MT 59715
(406) 586-1956
(406) 587-7656
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
9618
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0406861
—
MT
Enumeration date
07/04/2006
Last updated
01/05/2010
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