Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XS0106X | Orthopaedic Hand Surgeon | 11050 | MT |
Y | 2086S0105X | Surgery of the Hand | 11050 | MT |
NPI | 1588693741 |
---|---|
Provider Name | Richard N Vinglas |
First Address | Bozeman, MT 59715-8812 |
Second Address | Bozeman, MT 59715-8812 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2006 |
Last Update Date | 13/06/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
11050 | STATE LICENSE (01) | MT |
94486 | BCBS MT (01) | MT |
I58491 | (02) | MT |