Healthcare Provider Details

I. General information

NPI: 1972725182
Provider Name (Legal Business Name): BILLINGS PLASTIC SURGERY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2007
Last Update Date: 03/20/2024
Certification Date: 03/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2510 17TH ST W
BILLINGS MT
59102-1736
US

IV. Provider business mailing address

2510 17TH ST W
BILLINGS MT
59102-1736
US

V. Phone/Fax

Practice location:
  • Phone: 406-245-3238
  • Fax:
Mailing address:
  • Phone: 406-245-3238
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. STEVEN M GROSSO
Title or Position: PRESIDENT
Credential: MD
Phone: 406-245-3238