Provider Demographics
NPI:1134964638
Name:MONTANA ADVANCED PAIN AND SPINE PLLC
Entity type:Organization
Organization Name:MONTANA ADVANCED PAIN AND SPINE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:STRIGENZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-426-3200
Mailing Address - Street 1:1819 S 22ND AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59718-7070
Mailing Address - Country:US
Mailing Address - Phone:406-426-3200
Mailing Address - Fax:406-920-7246
Practice Address - Street 1:3745 HARRISON AVE STE G
Practice Address - Street 2:
Practice Address - City:BUTTE
Practice Address - State:MT
Practice Address - Zip Code:59701-6814
Practice Address - Country:US
Practice Address - Phone:406-426-3200
Practice Address - Fax:406-920-7246
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-26
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center