Organization
GLACIER SURGICAL CENTER, LLC
Active
Other names
Rocky Mountain Surgical Suites
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE TUBBS MD (MEDICAL DIRECTOR)
(406) 756-6887
Entity
Organization
Contact information
Practice address
1400 PONDERA STREET, KALISPELL, MT 59901
(406) 250-4847
Mailing address
1400 PONDERA STREET, KALISPELL, MT 59901
(406) 250-4847
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
12/11/2023
Last updated
11/26/2024
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