Individual
DR. MARK ROSS COMARATTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1940 W DICKERSON ST, SUITE 103, BOZEMAN, MT 59718-6851
(406) 284-2370
(406) 284-2372
Mailing address
1940 W DICKERSON ST, SUITE 103, BOZEMAN, MT 59718-6851
(406) 284-2370
(406) 284-2372
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
12335
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144286121
—
MT
Enumeration date
04/26/2006
Last updated
01/04/2013
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