Organization
ROCKY MOUNTAIN VEIN CLINIC BOZEMAN, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LACY BANGERT (ADMINISTRATOR)
(406) 252-8346
Entity
Organization
Contact information
Practice address
822 STONERIDGE DR STE 2, BOZEMAN, MT 59718-7047
(406) 252-8346
(406) 656-8303
Mailing address
2820 CENTRAL AVE, SUITE A, BILLINGS, MT 59102-8624
(406) 252-8346
(406) 656-8303
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
10772
MT
Other
Enumeration date
06/19/2013
Last updated
10/21/2020
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