Individual
MR. ROBERT TYLER REIDENBAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5 W MENDENHALL ST, STE 202, BOZEMAN, MT 59715
(406) 219-7233
Mailing address
PO BOX 4369, BOISE, ID 83711-4369
(208) 810-2310
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
MEDPHYSCOMLIC114707
MT
Other
Enumeration date
04/16/2013
Last updated
02/27/2023
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