Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | 760 | MT |
NPI | 1265597348 |
---|---|
Provider Name | Dr. Jeff Saad |
First Address | Big Sky, MT 59716-0055 |
Second Address | Big Sky, MT 59716 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/12/2006 |
Last Update Date | 08/07/2007 |