| NPI | 1851955264 |
|---|---|
| Other Name | BOZEMAN HEALTH PEDIATRICS CLINIC MEDICAID PASSPORT NPI |
| Entity Type | Organization |
| Authorized Contact | BRAD K LUDFORD CFO 406-414-1036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2024-11-19 |