Organization
CHISDAK OB-GYN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMI CHISDAK M.D. (PHYSICIAN)
(406) 556-4649
Entity
Organization
Contact information
Practice address
2132 BROADWATER AVE, STE A1, BILLINGS, MT 59102-4778
(406) 556-4649
(406) 556-7083
Mailing address
1648 ELLIS ST, SUITE 201, BOZEMAN, MT 59715-8810
(406) 556-4649
(406) 556-7083
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
9885
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44285
—
MT
Enumeration date
05/27/2006
Last updated
08/22/2020
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