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Individual

DR. JOHN A VALLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1450 ELLIS ST, SUITE 201, BOZEMAN, MT 59715-8812
(406) 587-0122
(406) 587-5548
Mailing address
1450 ELLIS ST, SUITE 201, BOZEMAN, MT 59715-8812
(406) 587-0122

Taxonomy

Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
8070
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
22491
MT
Enumeration date
08/04/2005
Last updated
10/15/2007
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