Organization
PIONEER PEAK ORTHOPEDICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MONTANO M.D. (PHYSICIAN AND 1/3 OWNER)
(907) 707-1671
Entity
Organization
Contact information
Practice address
3765 E. BLUE LUPINE DR. SUITE D, WASILLA, AK 99654
(907) 707-1671
Mailing address
3765 E. BLUE LUPINE DR. SUITE D, WASILLA, AK 99654
(907) 707-1671
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1635143
—
AK
Enumeration date
09/17/2015
Last updated
10/05/2023
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