Provider Demographics
NPI:1700098357
Name:CONTINENTAL DIVIDE OBGYN, P.L.L.C.
Entity Type:Organization
Organization Name:CONTINENTAL DIVIDE OBGYN, P.L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RINDO
Authorized Official - Middle Name:R
Authorized Official - Last Name:SIRONI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:406-723-3000
Mailing Address - Street 1:305 W PORPHYRY ST
Mailing Address - Street 2:
Mailing Address - City:BUTTE
Mailing Address - State:MT
Mailing Address - Zip Code:59701-2000
Mailing Address - Country:US
Mailing Address - Phone:406-723-3000
Mailing Address - Fax:406-723-3003
Practice Address - Street 1:305 W PORPHYRY ST
Practice Address - Street 2:
Practice Address - City:BUTTE
Practice Address - State:MT
Practice Address - Zip Code:59701-2000
Practice Address - Country:US
Practice Address - Phone:406-723-3000
Practice Address - Fax:406-723-3003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-04
Last Update Date:2011-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT10249207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty