Individual
DR. ANDERS V PERSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
905 HIGHLAND BLVD STE 4500, BOZEMAN, MT 59715-6903
(406) 522-2400
Mailing address
905 HIGHLAND BLVD STE 4500, BOZEMAN, MT 59715-6903
(406) 522-2400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
8249
MT
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
8249
MT
207RP1001X
Pulmonary Disease Physician
Primary
8249
MT
207RS0012X
Sleep Medicine (Internal Medicine) Physician
8249
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000014781
BCBS
—
05
—
0091392
—
MT
01
—
P00124136
MEDICARE RAILROAD
—
Enumeration date
07/25/2006
Last updated
09/19/2013
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