Organization
MARVIN H. BACKER, PH.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARVIN HOWARD BACKER PH.D. (PRESIDENT)
(406) 587-9558
Entity
Organization
Contact information
Practice address
222 E MAIN ST, SUITE 203, BOZEMAN, MT 59715-6240
(406) 587-9558
(406) 587-0534
Mailing address
222 E MAIN ST, SUITE 203, BOZEMAN, MT 59715-6240
(406) 587-9558
(406) 587-0534
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
80
MT
Other
Enumeration date
01/07/2008
Last updated
01/07/2008
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