Provider Demographics
NPI:1972725182
Name:BILLINGS PLASTIC SURGERY PC
Entity Type:Organization
Organization Name:BILLINGS PLASTIC SURGERY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:GROSSO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:406-245-3238
Mailing Address - Street 1:2510 17TH ST W
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102-1736
Mailing Address - Country:US
Mailing Address - Phone:406-245-3238
Mailing Address - Fax:
Practice Address - Street 1:2510 17TH ST W
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-1736
Practice Address - Country:US
Practice Address - Phone:406-245-3238
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Single Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center