Individual
DR. TODD J HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
935 HIGHLAND BLVD, SUITE 4400, BOZEMAN, MT 59715-6904
(406) 587-5123
(406) 556-6758
Mailing address
FAMILY MEDICINE CLINIC, 935 HIGHLAND BLVD STE 2200, BOZEMAN, MT 59715-6915
(406) 414-5700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8230
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100623
—
MT
01
—
14291
BCBS
MT
Enumeration date
07/06/2006
Last updated
05/29/2019
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