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GALLATIN PLASTIC SURGERY PLLC NPI 1255788592


NPI Information

NPI: 1255788592
Provider Name: GALLATIN PLASTIC SURGERY, PLLC
Classification: Plastic Surgery - 208200000X
Entity Type: Organization

CLIA Number: 27D1088684

Address:
300 N WILLSON AVE
SUITE 300C
BOZEMAN, MT
ZIP 59715
Phone: (406) 577-2346
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GALLATIN PLASTIC SURGERY, PLLC is a plastic surgery in Bozeman, MT. The provider is a plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. GALLATIN PLASTIC SURGERY, PLLC NPI is 1255788592. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

300 N WILLSON AVE
SUITE 300C
BOZEMAN, MT
ZIP 59715-551
Phone: (406) 577-2346
Fax: (866) 404-8715

The provider's authorized official is Jarred Mcdaniel .
The authorized official title is Owner and has the following contact phone number (406) 577-2346.

The CLIA number assigned to this NPI record is 27D1088684 - other - county jail clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/17/2016 and was last updated on 2/23/2017.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208200000XPlastic Surgery27907MONTANAYes
2261QA1903XClinic/CenterAmbulatory Surgical27907MONTANANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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