Great Divide Radiology, Pllp

NPI #1760708382 in Helena, Montana

Provider Information

NPI Number: 1760708382
Entity Type: Organization
Organization Name: Great Divide Radiology, Pllp
Primary Specialty: Specialist
Enumeration Date: Apr 8, 2010
Last Updated: Apr 8, 2010

Practice Location

Address: 2475 E BROADWAY ST
City: Helena
State: Montana
ZIP Code: 59601-4928
Phone: (406) 459-4060

Authorized Official

Name: MR. DENNIS PATRICK MCSWEENEY
Title: BUSINESS MANAGER
Phone: (406) 459-4060

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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