OrganizationActive
Plastic Surgery Associates PA
NPI 1134965262 · Plastic and Reconstructive Surgery Physician · Bozeman, MT
Provider details
- NPI number
- 1134965262
- Entity type
- Organization
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Plastic Surgery Associates PA
- Organization subpart
- Yes
- Authorized official
- Sylviana Crawford, Office Administrator(682) 200-8580
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
915 Highland Blvd Ste 4500
Bozeman, MT 59715-6902
Phone: (682) 200-8580
Fax: (682) 200-8581
Approximate (ZIP-level) locationGet directions
Mailing address
1250 8th Ave Ste 265
Fort Worth, TX 76104-4125
Registry dates
- Enumerated
- 2024-07-08
- Last updated
- 2024-07-08
- Certified
- 2024-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.