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Individual

ABBEY DUKE SHIRAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
925 HIGHLAND BLVD STE 1100, BOZEMAN, MT 59715-6900
(406) 414-4550
Mailing address
915 HIGHLAND BLVD, BOZEMAN, MT 59715-6902
(406) 414-5000

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
100670
MT
363A00000X
Physician Assistant

Other

Enumeration date
01/18/2016
Last updated
04/10/2025
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