Individual
CHAD M ENGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD FACS
Contact information
Practice address
400 13TH AVE S STE 102, GREAT FALLS, MT 59405-4300
(406) 731-8888
(406) 731-8318
Mailing address
400 13TH AVE S, SUITE 102 GREAT FALLS SURGICAL ASSOCIATES, GREAT FALLS, MT 59405-4300
(406) 452-0877
(406) 452-2989
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
10335
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000095421
—
MT
01
—
0000099385
BLUE CROSS BLUE SHIELD
MT
01
—
608333600
US DEPT OF LABOR
MT
01
—
P00199129
RAILROAD MEDICARE
MT
Enumeration date
01/22/2007
Last updated
05/21/2024
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