MONTANA SPORT AND SPINE LLC NPI 1013004241

NPI Information

MONTANA SPORT AND SPINE LLC is a pain medicine physical medicine rehabilitation in Bozeman, MT. The provider is a physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. MONTANA SPORT AND SPINE LLC NPI is 1013004241. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Bozeman Sport And Spine Llc.

The provider's business location address is:

925 HIGHLAND BLVD, SUITE 1130
BOZEMAN SPORT AND SPINE LLC
BOZEMAN, MT
ZIP 59715-900
Phone: (406) 522-9067
Fax: (406) 522-9074

The provider's authorized official is Bradley L. Aylor .
The authorized official title is Proprieter and has the following contact phone number (406) 522-9067.

The enumeration date for this NPI number is 10/9/2006 and was last updated on 7/23/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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