Individual
DR. ROBERT OWEN MCGINNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1575 W KAGY BLVD, BOZEMAN, MT 59715-6509
(406) 522-9355
Mailing address
1575 W KAGY BLVD, BOZEMAN, MT 59715-6509
(406) 522-9355
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10123
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10123
STATE MEDICAL LICENSE
MT
Enumeration date
05/21/2007
Last updated
07/08/2007
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