Organization
WILLIAM R. MEALER, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM RANDALL MEALER MD (SOLE SHAREHOLDER)
(406) 585-2700
Entity
Organization
Contact information
Practice address
300 N WILLSON AVE, SUITE 300-C, BOZEMAN, MT 59715-3551
(406) 585-2700
(406) 585-2751
Mailing address
300 N WILLSON AVE, SUITE 300-C, BOZEMAN, MT 59715-3551
(406) 585-2700
(406) 585-2751
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
9651
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0040154
—
MT
Enumeration date
10/17/2011
Last updated
10/17/2011
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