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Organization
WILLIAM R. MEALER, M.D., INC.
Active
Organization
WILLIAM R. MEALER, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM RANDALL MEALER MD (SOLE SHAREHOLDER)
(406) 585-2700
Entity
Organization
Contact information
Practice address
300 N WILLSON AVE, SUITE 300-C, BOZEMAN, MT 59715-3551
(406) 585-2700
(406) 585-2751
Mailing address
300 N WILLSON AVE, SUITE 300-C, BOZEMAN, MT 59715-3551
(406) 585-2700
(406) 585-2751
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
9651
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0040154
—
MT
Enumeration date
10/17/2011
Last updated
10/17/2011
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