Organization
BOZEMAN PRIMARY CARE PLLC
Active
Other names
Bozeman Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRY SCOTT EDWARDS MD (OWNER)
(406) 404-1525
Entity
Organization
Contact information
Practice address
4535 VALLEY COMMONS DR STE 104, BOZEMAN, MT 59718-4160
(406) 404-1525
Mailing address
4535 VALLEY COMMONS DR STE 104, BOZEMAN, MT 59718-4160
(406) 404-1525
(406) 548-9777
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8210759
—
MT
Enumeration date
10/24/2018
Last updated
06/17/2019
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