# BOZEMAN CLINIC PLLP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013936244
- **Authorized official:** MRS. JUDITH J. DOUGLAS BSN, RN (ADMINISTRATOR)
- **Authorized official phone:** (406) 587-4242

## Contact information

- **Practice address:** 931 HIGHLAND BLVD, SUITE 3360, BOZEMAN, MT 59715
- **Practice address phone:** (406) 587-4242
- **Practice address fax:** (406) 587-3507
- **Mailing address:** 931 HIGHLAND BLVD, SUITE 3360, BOZEMAN, MT 59715
- **Mailing address phone:** (406) 587-4242
- **Mailing address fax:** (406) 587-3507

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/19/2006
- **Last updated:** 01/04/2019