Individual
DR. DUSTIN M FRAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2622 W MAIN ST STE B, BOZEMAN, MT 59718-3967
(406) 587-9679
(406) 587-6093
Mailing address
2622 W MAIN ST, STE. B, BOZEMAN, MT 59718-3967
(406) 587-9679
(406) 587-6093
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1015
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0164281
—
MT
05
—
0164288
—
MT
01
—
350054790
RAILROAD MEDICARE
MT
01
—
42223
BLUE CROSS BLUE SHIELD
MT
Enumeration date
12/20/2006
Last updated
06/01/2011
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