| Intermountain Health Bozeman Clinic - Family Medicine | |
|
711 W Main St Bozeman MT 59715-3356 | |
| (406) 556-5888 | |
| Not Available |
| Full Name | Intermountain Health Bozeman Clinic - Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 711 W Main St, Bozeman, Montana |
| Authorized Official Name and Position | Jon Mcdaniel (VP FINANACE MEDICAL GROUP) |
| Authorized Official Contact | 3032720231 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Intermountain Health Bozeman Clinic - Family Medicine 711 W Main St Bozeman MT 59715-3356 Ph: (406) 556-5888 | Intermountain Health Bozeman Clinic - Family Medicine 711 W Main St Bozeman MT 59715-3356 Ph: (406) 556-5888 |
| NPI Number | 1841811239 |
|---|---|
| Provider Enumeration Date | 04/27/2020 |
| Last Update Date | 03/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841811239 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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