Individual
DR. ROBERT A HATHAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
937 HIGHLAND BLVD STE 5410, BOZEMAN, MT 59715-6916
(406) 414-2400
Mailing address
937 HIGHLAND BLVD, STE 5410, BOZEMAN, MT 59715-6916
(406) 414-2400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
3533
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000018531
BCBS MT
—
05
—
0088978
—
MT
01
—
110141238
MEDICARE RAILROAD
—
Enumeration date
08/08/2006
Last updated
08/05/2021
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