Bozeman Podiatric Clinic Inc in Bozeman - Foot & Ankle Surgery
Bozeman Podiatric Clinic Inc - NPI 1144404401
Bozeman Podiatric Clinic Inc is a Foot & Ankle Surgery in Bozeman, Montana. Bozeman Podiatric Clinic Inc practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Bozeman Podiatric Clinic Inc is 1144404401. The last update date is 2013-04-09.
Bozeman Podiatric Clinic Inc's current location address is 300 N Willson Ave Ste 801h, Bozeman, Montana. You can contact this provider via phone number 4065865318 and fax number 4065861635. The mailing address for Bozeman Podiatric Clinic Inc is 300 N Willson Ave Ste 801h, Bozeman, Montana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bozeman Podiatric Clinic Inc |
|---|---|
| Address | 300 N Willson Ave Ste 801h, Bozeman, Montana |
| Phone Number | 4065865318 |
| Fax Number | 4065861635 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Clark Dean Jan |
| Credentials | DPM |
| Telephone Number | 4065865318 |
NPI Number Detail
| NPI Number | 1144404401 |
|---|---|
| Provider Enumeration Date | 2007-12-21 |
| Last Updated Date | 2013-04-09 |
Provider Mailing Address Detail
| Address | 300 N Willson Ave Ste 801h |
|---|---|
| City | Bozeman |
| State | Montana (MT) |
| Post Code | 597153551 |
| Phone Number | 4065865318 |
| Fax Number | 4065861635 |
Provider's Primary Taxonomy Detail
| Speciality | Foot & Ankle Surgery |
|---|---|
| Taxonomy | 213Es0103X |
| Licence No | 79 |
|
Definition: A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| M000009239 | MT | PTAN |
Post Comment/ Review Below
What is the Bozeman Podiatric Clinic Inc's unique identification number?
The Bozeman Podiatric Clinic Inc has been assigned the NPI (National Provider Identifier) Number 1144404401 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Bozeman Podiatric Clinic Inc is located?
The Bozeman Podiatric Clinic Inc is situated at the following address: 300 N Willson Ave Ste 801H, Bozeman, MT, 597153551.
What is Bozeman Podiatric Clinic Inc's area of expertise and its corresponding taxonomy classification?
The Bozeman Podiatric Clinic Inc's field of specialization is Foot & Ankle Surgery, and it falls under the taxonomy code 213Es0103X, which categorizes healthcare providers based on their areas of practice.
When did Bozeman Podiatric Clinic Inc receive its 1144404401 assignment?
The Bozeman Podiatric Clinic Inc was assigned its 1144404401 on 2007-12-21, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Bozeman Podiatric Clinic Inc last refreshed?
The information related to the Bozeman Podiatric Clinic Inc, including its address, specialty, and other relevant details, was last updated on 2013-04-09.