Organization
BIG SKY VASCULAR A SERIES OF TETON GROUP ENTERPRISES A DELAWARE LLC
Active
Other names
Big Sky Vascular
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL P HODEL (SECRETARY)
(208) 542-5000
Entity
Organization
Contact information
Practice address
3307 GRAND AVE STE 201, BILLINGS, MT 59102-6551
(406) 969-5194
(406) 969-5195
Mailing address
PO BOX 1642, IDAHO FALLS, ID 83403-1642
(208) 552-8761
(208) 523-2025
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
MT
Other
Enumeration date
01/10/2015
Last updated
04/22/2015
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