St Joseph Orthopedic and Sport

NPI #1639203920 in Polson, Montana

Provider Information

NPI Number: 1639203920
Entity Type: Organization
Organization Name: St Joseph Orthopedic and Sport
Primary Specialty: Specialist
Enumeration Date: Mar 16, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 6 13TH AVE E
City: Polson
State: Montana
ZIP Code: 59860-5315
Phone: (406) 883-5377

Authorized Official

Name: JOHN GLUECKERT
Title: CEO
Phone: (406) 883-8416

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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