Individual
MARK FRANCIS OZOG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1417 9TH ST S STE 100, GREAT FALLS, MT 59405-4509
(406) 453-1613
(406) 453-3717
Mailing address
1417 9TH ST SO, #100, GREAT FALLS, MT 59405-4503
(406) 453-1613
(406) 453-3717
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
29408
CO
207W00000X
Ophthalmology Physician
Primary
7816
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000009731
BLUE CROSS BLUE SHIELD
MT
05
—
0014053
—
MT
01
—
180023007
RAILROAD MEDICARE
MT
Enumeration date
11/01/2006
Last updated
03/22/2023
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