Individual
DR. DEREK GAVIN VINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
950 W. GRANT ST. STUDENT WELLNESS CENTER, MEDICAL SERVICES, SUITE 2200, BOZEMAN, MT 59717
(406) 994-2311
Mailing address
208 FLYNN AVE, SUITE 3J, BURLINGTON, VT 05401-5429
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
26173
MT
Other
Enumeration date
02/16/2007
Last updated
03/28/2025
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