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Contact Information

PAUL C ANDERSON, MD
1648 ELLIS ST STE 201
BOZEMAN, MT59715-8811
 Phone: 406-587-8631
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
 

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for PAUL C ANDERSON · (Male)

NPI # 1801020672
Status Active
Credentials MD
Entity Individual
Enumeration date 05/08/2009
Last updated 09/22/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • MT License # 36324
  • MT Medicaid 1801020672
Hospital affiliation(s)
  • BARRETT MEMORIAL HOSPITAL - (Critical Access)
    600 MT HWY 91 S
    DILLON, MT 59725
  • BOZEMAN DEACONESS HOSPITAL - (Acute Care)
    915 HIGHLAND BLVD
    BOZEMAN, MT 59715
  • RUBY VALLEY HOSPITAL - (Critical Access)
    220 E CROFOOT
    SHERIDAN, MT 59749
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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