Provider Demographics
NPI:1194819680
Name:ROCKY MOUNTAIN VASCULAR ASSOCIATES
Entity Type:Organization
Organization Name:ROCKY MOUNTAIN VASCULAR ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCLAIN
Authorized Official - Suffix:
Authorized Official - Credentials:RVT, RDMS
Authorized Official - Phone:406-238-6835
Mailing Address - Street 1:2900 12TH AVE N
Mailing Address - Street 2:SUITE 301E
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101
Mailing Address - Country:US
Mailing Address - Phone:406-238-6835
Mailing Address - Fax:406-238-6839
Practice Address - Street 1:2900 12TH AVE N
Practice Address - Street 2:SUITE 301E
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101
Practice Address - Country:US
Practice Address - Phone:406-238-6835
Practice Address - Fax:406-238-6839
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2008-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246XC2903XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularVascular SpecialistGroup - Single Specialty