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Organization
PARK CLINIC OB-GYN
Active
Organization
PARK CLINIC OB-GYN
Active
Parent organization
LIVINGSTON HEALTHCARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIVINGSTON HEALTHCARE
Authorized official
DEBRA ANCZAK (CEO)
(406) 823-6611
Entity
Organization
Contact information
Practice address
300 N WILLSON AVE, BOZEMAN, MT 59715-3551
(406) 222-0605
Mailing address
320 ALPENGLOW LN, LIVINGSTON, MT 59047-8506
(406) 222-0800
(406) 222-7606
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
03/14/2008
Last updated
03/14/2018
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