| NPI | 1427612845 |
|---|---|
| Other Name | BOZEMAN HEALTH FAMILY MEDICINE CLINIC MEDICAID PASSPORT NPI |
| Entity Type | Organization |
| Authorized Contact | BRAD K LUDFORD CFO 406-414-1036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2024-11-19 |