Individual
JASPUR C. KOLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
1450 ELLIS ST STE 201, BOZEMAN, MT 59715-8813
(406) 587-0122
(406) 587-5548
Mailing address
1450 ELLIS ST STE 201, BOZEMAN, MT 59715-8813
(406) 587-0122
(406) 587-5548
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
408
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000096253
BCBS PIN
MT
01
—
121018100
MDCD PIN
WY
01
—
4305262
MDCD PIN
MT
Enumeration date
10/05/2006
Last updated
10/11/2016
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