Organization
BOZEMAN BIRTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA M BLANK (PROPRIETOR / PRACTICE MANAGER)
(406) 585-0752
Entity
Organization
Contact information
Practice address
601 W VILLARD ST, BOZEMAN, MT 59715-3443
(406) 585-0752
(406) 585-2209
Mailing address
601 W VILLARD ST, BOZEMAN, MT 59715-3443
(406) 585-0752
(406) 585-2209
Taxonomy
Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary
—
—
Other
Enumeration date
04/14/2015
Last updated
04/14/2015
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