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Individual

MATTHEW E BAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
931 HIGHLAND BLVD STE 3210, BOZEMAN, MT 59715-6912
(406) 414-5925
Mailing address
915 HIGHLAND BLVD, BOZEMAN, MT 59715-6902
(406) 414-5000

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
01059069A
IN
2084N0400X
Neurology Physician
Primary
128948
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000357188
ANTHEM
05
200507530
IN
Enumeration date
07/27/2006
Last updated
04/09/2025
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