Individual
DR. JASON ERIC HIMMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1648 ELLIS ST STE 201, BOZEMAN, MT 59715-8811
(406) 587-8631
(406) 587-1343
Mailing address
1648 ELLIS ST STE 201, BOZEMAN, MT 59715-8811
(406) 587-8631
(406) 587-1343
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
04-32462
KS
2085R0202X
Diagnostic Radiology Physician
Primary
23289
NE
2085R0202X
Diagnostic Radiology Physician
36189
IA
2085R0204X
Vascular & Interventional Radiology Physician
04-32462
KS
2085R0204X
Vascular & Interventional Radiology Physician
2008009083
MO
2085R0204X
Vascular & Interventional Radiology Physician
MED-PHYS-LIC-105069
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200554790B
—
KS
05
—
20554790A
—
KS
Enumeration date
04/17/2007
Last updated
11/06/2025
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