Provider Demographics
NPI:1740390046
Name:SILVERBOW SURGICAL ASSOCIATES PC
Entity Type:Organization
Organization Name:SILVERBOW SURGICAL ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:RAISER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:406-723-0043
Mailing Address - Street 1:400 W PORPHYRY ST
Mailing Address - Street 2:
Mailing Address - City:BUTTE
Mailing Address - State:MT
Mailing Address - Zip Code:59701-2312
Mailing Address - Country:US
Mailing Address - Phone:406-723-0043
Mailing Address - Fax:406-723-2067
Practice Address - Street 1:400 W PORPHYRY ST
Practice Address - Street 2:
Practice Address - City:BUTTE
Practice Address - State:MT
Practice Address - Zip Code:59701
Practice Address - Country:US
Practice Address - Phone:406-723-0043
Practice Address - Fax:406-723-2067
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty