Organization
BOZEMAN PSYCHIATRY PC
Active
Organization
BOZEMAN PSYCHIATRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOAN MARIE GREEN MD (OWNER)
(406) 586-9735
Entity
Organization
Contact information
Practice address
1940 W DICKERSON ST, SUITE 207, BOZEMAN, MT 59718-6851
(406) 586-9735
(406) 582-9158
Mailing address
1940 W DICKERSON ST, SUITE 207, BOZEMAN, MT 59718-6851
(406) 586-9735
(406) 582-9158
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
8323
MT
2084P0804X
Child & Adolescent Psychiatry Physician
8323
MT
Other
Enumeration date
09/08/2015
Last updated
09/08/2015
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