Organization
SHANEYFELT GASTROENTEROLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN LR SHANEYFELT MD (PRESIDENT)
(406) 586-0103
Entity
Organization
Contact information
Practice address
931 HIGHLAND BLVD STE 3330, BOZEMAN, MT 59715-6912
(406) 586-0103
(406) 582-7455
Mailing address
931 HIGHLAND BLVD STE 3330, BOZEMAN, MT 59715-6912
(406) 586-0103
(406) 582-7455
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
4928
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0980395
—
MT
01
—
1033203831
NPI
MT
Enumeration date
01/07/2009
Last updated
01/07/2009
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