Organization
THE MATRIARCH CLINIC
Active
Organization
THE MATRIARCH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY MICHELE ENTERLINE CONSSON MD (OWNER)
(406) 606-0332
Entity
Organization
Contact information
Practice address
62 TILLYFOUR RD, BOZEMAN, MT 59718-9666
(406) 414-0020
(888) 289-4505
Mailing address
2975 MAX AVE # 1187, BOZEMAN, MT 59718-7143
(406) 414-0020
(888) 289-4505
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/06/2024
Last updated
03/06/2024
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