Orthopedics of Central Mt PC

NPI #1952475469 in Lewistown, Montana

Provider Information

NPI Number: 1952475469
Entity Type: Organization
Organization Name: Orthopedics of Central Mt PC
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Nov 17, 2006
Last Updated: Nov 7, 2007

Practice Location

Address: 310 WENDELL AVENUE
Address 2: SUITE 5
City: Lewistown
State: Montana
ZIP Code: 59457-2267
Phone: (406) 538-1456

Authorized Official

Name: DR. WILLIAM M IANNACONE, MD
Title: PRESIDENT
Phone: (406) 538-1456

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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