Healthcare Provider Details
I. General information
NPI: 1326146556
Provider Name (Legal Business Name): BUTTE ORTHOPEDIC AND FRACTURE CLINIC PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/20/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
435 S CRYSTAL ST SUITE 400
BUTTE MT
59701-1515
US
IV. Provider business mailing address
435 S CRYSTAL ST SUITE 400
BUTTE MT
59701-1515
US
V. Phone/Fax
- Phone: 406-496-3400
- Fax: 406-496-3401
- Phone: 406-496-3400
- Fax: 406-496-3401
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207X00000X |
| Taxonomy | Orthopaedic Surgery Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
LARRY
CURRAN
Title or Position: ADMINISTRATOR
Credential: CMPE
Phone: 406-496-3400