Organization
BODINE MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN A BODINE DO (MANAGING PARTNER)
(406) 723-4312
Entity
Organization
Contact information
Practice address
401 S ALABAMA ST, SUITE 3B, BUTTE, MT 59701-2315
(406) 723-4312
(406) 723-4316
Mailing address
401 S ALABAMA ST, SUITE 3B, BUTTE, MT 59701-2315
(406) 723-4312
(406) 723-4316
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
10364
MT
Other
Enumeration date
04/01/2007
Last updated
08/22/2020
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