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Contact Information

SURGICAL ASSOCIATES OF BOZEMAN, PC
925 HIGHLAND BOULEVARD
SUITE 1200
BOZEMAN, MT59715-6900
 Phone: 406-587-0704
 Fax: 406-587-1147
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Medical-Surgical

163WM0705X
Indicates primary specialty

NPI Profile & details for SURGICAL ASSOCIATES OF BOZEMAN PC · (Female)

NPI Number 1841320629
Status Active
Credentials
Entity Individual
Enumeration date 03/07/2007
Last updated 08/22/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • MT License # 10338
  • MT License # 15264
  • MT License # 4000
  • MT License # 6438
  • MT License # 9898
  • MT Medicaid 000037700
  • MT Medicaid 000048568
  • MT Medicaid 000062917
  • MT Medicaid 000085748
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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