Individual
DR. THOMAS JAMES HERIZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1871 S 22ND AVE STE 3, BOZEMAN, MT 59718-7054
(406) 585-3584
(406) 534-0411
Mailing address
1871 S. 22ND AVE STE 3, BOZEMAN, MT 59718-7054
(406) 585-3584
(406) 534-0411
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
12436
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150582
—
OR
Enumeration date
12/13/2006
Last updated
04/04/2018
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