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Organization
BOZEMAN PRIMARY CARE PLLC
Active
Organization
BOZEMAN PRIMARY CARE PLLC
Active
Other names
Bozeman Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRY SCOTT EDWARDS MD (OWNER)
(406) 404-1525
Entity
Organization
Contact information
Practice address
4535 VALLEY COMMONS DR STE 104, BOZEMAN, MT 59718-4160
(406) 404-1525
Mailing address
4535 VALLEY COMMONS DR STE 104, BOZEMAN, MT 59718-4160
(406) 404-1525
(406) 548-9777
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8210759
—
MT
Enumeration date
10/24/2018
Last updated
06/17/2019
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