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Organization

RAVALLI ORTHOPEDICS & SPORTS MEDICINE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GREGORY M BEHM MD (PRESIDENT DIRECTOR)
(406) 363-2391
Entity
Organization

Contact information

Practice address
312 FAIR GROUNDS ROAD, HAMILTON, MT 59840
(406) 361-7680
(406) 363-4060
Mailing address
312 FAIR GROUNDS ROAD, HAMILTON, MT 59840
(406) 361-7680
(406) 363-4060

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
8555
MT
207X00000X
Orthopaedic Surgery Physician
Primary
MT
363A00000X
Physician Assistant
0292
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0157658
MT
Enumeration date
08/28/2006
Last updated
01/23/2014
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