Healthcare Provider Details
I. General information
NPI: 1801936117
Provider Name (Legal Business Name): PREMIER OUTPATIENT SURGERY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/07/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1020 N 27TH ST STE 400
BILLINGS MT
59101-0760
US
IV. Provider business mailing address
1020 N 27TH ST STE 400
BILLINGS MT
59101-0760
US
V. Phone/Fax
- Phone: 406-245-3238
- Fax: 406-248-6814
- Phone: 406-245-3238
- Fax: 406-248-6814
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QA1903X |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
STEVEN
M
GROSSO
Title or Position: PRESIDENT
Credential: MD
Phone: 406-245-3238