Organization
ST JOSEPH ORTHOPEDIC AND SPORT
Active
Other names
St Joseph Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN GLUECKERT (CEO)
(406) 883-8416
Entity
Organization
Contact information
Practice address
6 13TH AVE E, POLSON, MT 59860-5315
(406) 883-5377
Mailing address
6 13TH AVE E, POLSON, MT 59860-5315
(406) 883-5377
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
10617
MT
Other
Enumeration date
03/16/2007
Last updated
08/22/2020
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