Healthcare Provider Details

I. General information

NPI: 1669478319
Provider Name (Legal Business Name): BILLINGS SURGICAL GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/27/2005
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 12TH AVE N STE 305E
BILLINGS MT
59101-7506
US

IV. Provider business mailing address

2900 12TH AVENUE N #305E
BILLINGS MT
59101-7592
US

V. Phone/Fax

Practice location:
  • Phone: 406-245-6982
  • Fax: 406-245-1539
Mailing address:
  • Phone: 406-245-6982
  • Fax: 406-245-1539

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number StateMT

VIII. Authorized Official

Name: JEFFREY P ARPIN
Title or Position: OWNER
Credential: MD
Phone: 406-245-6982