Organization
BOZEMAN PODIATRIC CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS BADEN WRIGHT DPM (OWNER)
(406) 586-5318
Entity
Organization
Contact information
Practice address
1125 W KAGY BLVD STE 101, BOZEMAN, MT 59715-5879
(406) 586-5318
(406) 586-1635
Mailing address
1125 W KAGY BLVD STE 101, BOZEMAN, MT 59715-5879
(406) 586-5318
(406) 586-1635
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
79
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M000009239
PTAN
MT
Enumeration date
12/21/2007
Last updated
10/01/2024
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