Whalio Doctors

NPI 1124013354

Community Surgical Associates, P.C.

Organisation Surgery Physician Missoula, MT

Practice location

Address
2831 Fort Missoula Rd Suite 104, Missoula, MT 59804-7419
Phone
(406) 728-0285
Fax
(406) 728-0613

Authorised official

Name
Timothy Bradford Richards
Title
President
Phone
(406) 728-0285

Registered specialties

Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 7987 (MT)

Registry record

NPI
1124013354
Entity type
Organization
NPI issued
14 Sep 2005
Record last updated
12 Apr 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.