Provider Demographics
NPI:1578516480
Name:MAPG, P.C.
Entity Type:Organization
Organization Name:MAPG, P.C.
Other - Org Name:ADVANCED PAIN & SPINE INSTITUTE OF MONTANA, PC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:GILLETT-BRETZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-728-8420
Mailing Address - Street 1:PO BOX 17377
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59808-7377
Mailing Address - Country:US
Mailing Address - Phone:406-728-8420
Mailing Address - Fax:406-541-8430
Practice Address - Street 1:2835 FORT MISSOULA RD
Practice Address - Street 2:SUITE 102
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59804-7423
Practice Address - Country:US
Practice Address - Phone:406-541-7246
Practice Address - Fax:406-541-8430
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MISSOULA ANESTHESIOLOGY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-05-19
Last Update Date:2015-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty