# BOZEMAN PRIMARY CARE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bozeman Primary Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477020824
- **Authorized official:** DR. TERRY SCOTT EDWARDS MD (OWNER)
- **Authorized official phone:** (406) 404-1525

## Contact information

- **Practice address:** 4535 VALLEY COMMONS DR STE 104, BOZEMAN, MT 59718-4160
- **Practice address phone:** (406) 404-1525
- **Mailing address:** 4535 VALLEY COMMONS DR STE 104, BOZEMAN, MT 59718-4160
- **Mailing address phone:** (406) 404-1525
- **Mailing address fax:** (406) 548-9777

## Taxonomy

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

## Other

- **Enumeration date:** 10/24/2018
- **Last updated:** 06/17/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 8210759 | — | MT |