Organization
BELLAMAH VEIN & SURGERY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID HOWARD BELLAMAH M.D (OWNER)
(513) 509-1706
Entity
Organization
Contact information
Practice address
2975 STOCKYARD RD, SUITE 200 & 201, MISSOULA, MT 59808-1557
(513) 509-1706
Mailing address
2975 STOCKYARD RD, SUITE 200, MISSOULA, MT 59808-1557
(513) 509-1706
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9851
MT LICENSE
MT
Enumeration date
05/08/2014
Last updated
01/18/2024
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