| Ryan James Coram, DO | |
|
915 Highland Blvd, Bozeman, MT 59715-6902 | |
| (406) 414-5000 | |
| Not Available |
| Full Name | Ryan James Coram |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 915 Highland Blvd, Bozeman, Montana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194285429 | NPI | - | NPPES |
| Entity Name | Legacy Clinics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20031117000089 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan James Coram, DO 915 Highland Blvd, Bozeman, MT 59715-6902 Ph: (406) 414-5000 | Ryan James Coram, DO 915 Highland Blvd, Bozeman, MT 59715-6902 Ph: (406) 414-5000 |
Robert Sise, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 5 W Mendenhall St Ste 202, Bozeman, MT 59715 Phone: 406-219-7233 | |
Tiffany White, D.O. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 915 Highland Blvd, Bozeman, MT 59715 Phone: 406-414-5000 | |
Dr. Thomas James Heriza, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1871 S 22nd Ave Ste 3, Bozeman, MT 59718 Phone: 406-585-3584 Fax: 406-534-0411 | |
Dr. Joshua Aaron Knappenberger, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 931 Highland Blvd Ste 3210, Bozeman, MT 59715 Phone: 406-414-2410 | |
Emily Poole Pharr, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 931 Highland Blvd Ste 3210, Bozeman, MT 59715 Phone: 406-414-2410 | |
Dr. Alexis Paige Anderson, D.O. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2821 S 28th Ave, Bozeman, MT 59718 Phone: 406-589-2402 |