MOUNTAIN WEST PLASTIC SURGERY AND MEDICAL SPA PLLC NPI 1639886823

NPI Information

  • NPI: 1639886823
  • Provider Name: MOUNTAIN WEST PLASTIC SURGERY AND MEDICAL SPA, PLLC
  • Classification: Surgery - 2086S0122X
  • Specialization: Plastic and Reconstructive Surgery
  • Entity Type: Organization
  • Other Name: MOUNTAIN WEST PLASTIC SURGERY
  • Address: 60 FOUR MILE DR STE 11
    KALISPELL, MT
    ZIP 59901
  • Phone: (406) 609-0210

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NPI Details

MOUNTAIN WEST PLASTIC SURGERY AND MEDICAL SPA, PLLC is a plastic and reconstructive surgery surgery in Kalispell, MT. The provider is a surgeon who specializes in plastic and reconstructive surgery. MOUNTAIN WEST PLASTIC SURGERY AND MEDICAL SPA, PLLC NPI is 1639886823. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is Mountain West Plastic Surgery.

The provider's business location address is:

60 FOUR MILE DR STE 11
KALISPELL, MT
ZIP 59901-663
Phone: (406) 609-0210
Fax: (406) 609-0211

The provider's authorized official is Michelle Spring .
The authorized official title is Co-owner and has the following contact phone number (406) 609-0210.

The enumeration date for this NPI number is 10/28/2022 and was last updated on 12/13/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208200000XPlastic SurgeryNo
22086S0122XSurgeryPlastic and Reconstructive SurgeryYes

What is NPI?

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This page was last updated on: 3/30/2025

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