Individual
ADDISON MAE COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1905 W COLLEGE ST, BOZEMAN, MT 59718-4061
(406) 587-4432
(406) 587-7015
Mailing address
1905 W COLLEGE ST, BOZEMAN, MT 59718-4061
(406) 587-4432
(406) 587-7015
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
70843
MT
Other
Enumeration date
04/02/2019
Last updated
02/07/2022
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