Organization
COPPER CITY SURGERY CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN PETERSON (CEO)
(406) 541-3937
Entity
Organization
Contact information
Practice address
2760 ELIZABETH WARREN AVE, BUTTE, MT 59701
(406) 541-3937
Mailing address
PO BOX 4907, MISSOULA, MT 59806-4907
(406) 541-3937
(406) 541-3811
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
05/17/2021
Last updated
05/17/2021
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