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Contact Information

RAVALLI ORTHOPEDICS & SPORTS MEDICINE PC
312 FAIR GROUNDS ROAD
HAMILTON, MT59840
 Phone: 406-361-7680
 Fax: 406-363-4060
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for RAVALLI ORTHOPEDICS SPORTS MEDICINE PC · (Female)

NPI Number 1932217114
Status Active
Credentials
Entity Individual
Enumeration date 08/28/2006
Last updated 01/23/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • MT License # 0292
  • MT License # 8555
  • MT Medicaid 0157658
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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