NPI 1881830610

Benefis Medical Group

Organisation Vascular Surgery Physician Great Falls, MT

Practice location

Address: 500 15th Avenue South, Great Falls, MT 59405-4304
Phone: (406) 455-2845
Fax: (406) 268-0084
Mailing address: P.O. Box 6010, Great Falls, MT 59406-6010

Authorised official

Name: Jerry W. Speer
Title: President
Phone: (406) 455-2920

Registered specialties

Vascular Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2086S0129X Licence 9761 (MT)

Other Surgery providers in Montana →

Registry record

NPI: 1881830610
Entity type: Organization
NPI issued: 29 Dec 2008
Record last updated: 22 Nov 2010

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.