Individual
STACY H. SHOMENTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
925 HIGHLAND BLVD, STE 1210, BOZEMAN, MT 59715-6900
(406) 587-9202
Mailing address
PO BOX 35100, BILLINGS, MT 59107-5100
(406) 238-2500
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
8708
MT
207VE0102X
Reproductive Endocrinology Physician
Primary
8708
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000099435
BCBS PIN
MT
01
—
0095336
MDCD PIN
MT
Enumeration date
10/23/2006
Last updated
09/22/2011
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