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Organization

JOHN G VANGILDER PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN G VANGILDER MD (DOCTOR)
(406) 452-9504
Entity
Organization

Contact information

Practice address
401 15TH AVE S STE 101, GREAT FALLS, MT 59405-4372
(406) 452-9504
Mailing address
401 15TH AVE S STE 101, GREAT FALLS, MT 59405-4372
(406) 452-9504

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
10372
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0063682
MT
Enumeration date
03/04/2013
Last updated
03/14/2013
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