Organization
GUEST FAMILY CHIROPRACTIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY MARK GUEST DC (OWNER MANAGER)
(406) 586-7641
Entity
Organization
Contact information
Practice address
2304 N 7TH AVE, SUITE E, BOZEMAN, MT 59715-2597
(406) 586-7641
(406) 585-3304
Mailing address
2304 NORTH 7TH, SUITE E, BOZEMAN, MT 59715-2571
(406) 586-7641
(406) 582-4181
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
619
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000085216
GROUP MEDICARE #
MT
05
—
162279
—
MT
01
—
M000004672
MEDICARE PTAN
MT
Enumeration date
10/27/2006
Last updated
06/20/2012
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