Individual
DR. NICK BLAVATSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
435 S CRYSTAL ST, SUITE 400, BUTTE, MT 59701-1515
(406) 496-3400
(406) 496-3401
Mailing address
435 S CRYSTAL ST, SUITE 400, BUTTE, MT 59701-1515
(406) 496-3400
(406) 496-3401
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
8799
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0022882
—
MT
Enumeration date
10/17/2006
Last updated
07/08/2007
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