Individual
NICHOLAS D BONFILIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3000 15TH AVE S, GREAT FALLS CLINIC, GREAT FALLS, MT 59405
(406) 454-2171
(406) 771-3021
Mailing address
1400 29TH ST S, GREAT FALLS, MT 59405-5353
(406) 454-2171
(406) 771-3021
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
7695
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0106379
—
MT
Enumeration date
08/12/2005
Last updated
08/05/2011
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