| Aerosurgical Montana Llc | |
|
1019 Hilda Ave Missoula MT 59801-4323 | |
| (406) 560-2170 | |
| Not Available |
| Full Name | Aerosurgical Montana Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1019 Hilda Ave, Missoula, Montana |
| Authorized Official Name and Position | Thomas J Mcmahon (OWNER OF ASM) |
| Authorized Official Contact | 4065602170 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aerosurgical Montana Llc 1019 Hilda Ave Missoula MT 59801-4323 Ph: (406) 560-2170 | Aerosurgical Montana Llc 1019 Hilda Ave Missoula MT 59801-4323 Ph: (406) 560-2170 |
| NPI Number | 1720632201 |
|---|---|
| Provider Enumeration Date | 08/01/2019 |
| Last Update Date | 01/12/2024 |
| Medicare PECOS PAC ID | 6608293758 |
|---|---|
| Medicare Enrollment ID | O20200903001271 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720632201 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Thomas Mcmahon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1558399709 PECOS PAC ID: 7618874173 Enrollment ID: I20031215000339 |
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