Individual
RYAN BACHOFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 W BROADWAY ST FL 4BB, MISSOULA, MT 59802-4008
(406) 329-5828
Mailing address
PO BOX 31001, PASADENA, CA 91110-4110
(406) 329-5828
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
13849360-1205
UT
208600000X
Surgery Physician
MED-PHYS-LIC-158314
MT
208C00000X
Colon & Rectal Surgery Physician
13849360-1205
UT
208C00000X
Colon & Rectal Surgery Physician
Primary
MED-PHYS-LIC-158314
MT
Other
Enumeration date
05/31/2019
Last updated
12/09/2025
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