Montana Sport and Spine LLC

NPI #1013004241 in Bozeman, Montana

Provider Information

NPI Number
1013004241
Entity Type
Organization
Organization Name
Montana Sport and Spine LLC
Primary Specialty
Physical Medicine & Rehabilitation - Pain Medicine
Enumeration Date
Oct 9, 2006
Last Updated
Jul 23, 2013

Practice Location

Address
925 HIGHLAND BLVD, SUITE 1130
Address 2
BOZEMAN SPORT AND SPINE LLC
State
Montana
ZIP Code
59715-6900
Phone
(406) 522-9067

Authorized Official

Name
DR. BRADLEY L. AYLOR, M.D.
Title
PROPRIETER
Phone
(406) 522-9067

Specialties & Taxonomy Codes

Specialty
Physical Medicine & Rehabilitation - Pain MedicinePain Medicine

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