Individual
ERIK R BODTKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
915 HIGHLAND BLVD, BOZEMAN, MT 59715-6902
(800) 461-3981
(801) 733-5872
Mailing address
3717 COTTAGE LN, BOZEMAN, MT 59715-0664
(406) 624-6329
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
8414
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000091916
BLUE CROSS OF MONTANA
MT
05
—
0148772
—
MT
05
—
071292
—
AZ
05
—
1225054695
—
UT
01
—
134310888
NEW WEST & HLTH CONNECT
MT
01
—
1343108880000
CHAMPUS
MT
05
—
67432514
—
NM
01
—
P01790452
RAILROAD MEDICARE
NM
Enumeration date
07/15/2006
Last updated
04/27/2017
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