Organization · Type 2 NPI

Facial Plastic and Reconstructive Surgery Montana PC

Clinic/Center · Missoula, MT

NPI number 1407116338 Active

Practice location

805 S Reserve St
Missoula, MT 59801-2104

Call (406) 549-6600 Map

Fax (406) 549-1511

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed
Ambulatory Surgical Clinic/Center 261QA1903X12580 (MT)

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

4 other providers at this address

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About NPI 1407116338

Facial Plastic and Reconstructive Surgery Montana PC's National Provider Identifier is 1407116338, issued on May 25, 2012. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Missoula, MT. The record was last updated on Apr 22, 2025.