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ALPINE ORTHOPEDICS & SPORTS MEDICINE

Physicians Family Medicine Sports Medicine

Provider NPI: 1083626832

Organization Information:
Organization Name:  ALPINE ORTHOPEDICS & SPORTS MEDICINE
Organization is not Subpart
Authorized Official:  MARK C DEIBERT  PRESIDENT  406-586-8029

Practice Location:
536 COTTONWOOD RD SUITE 100 BOZEMAN, MT 59718 US
Tel: 406-586-8029  Fax: 406-586-8009

Business Mailing Address:
536 COTTONWOOD RD SUITE 100 BOZEMAN, MT 59718 US
Tel: 406-586-8029  Fax: 406-586-8009

NPI Information:
NPI: 1083626832
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N207QS0010XPhysicians
Family Medicine
Sports Medicine
N207XX0005XPhysicians
Orthopaedic Surgery
MT8221
Y207XX0005XPhysicians
Orthopaedic Surgery
N207XX0801XPhysicians
Orthopaedic Surgery
N363AM0700XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
N363AS0400XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 207XX0005X

Type:

Classification:



Definition:



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