Individual
PAUL L GORSUCH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 15TH AVE S, #101, GREAT FALLS, MT 59405
(406) 761-3181
(406) 761-3192
Mailing address
401 15TH AVE S, #101, GREAT FALLS, MT 59405
(406) 761-3181
(406) 761-3192
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
45187
CA
207T00000X
Neurological Surgery Physician
Primary
6394
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0079781
—
MT
Enumeration date
11/07/2006
Last updated
06/03/2009
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