Individual
NATHAN J PUTNAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
1165 N. 14TH AVE., SUITE 1, BOZEMAN, MT 59715
(406) 551-2244
(406) 551-2245
Mailing address
1165 N. 14TH AVE., SUITE 1, BOZEMAN, MT 59715
(406) 551-2244
(406) 551-2245
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1284
MT
231H00000X
Audiologist
AUD400
CO
237600000X
Audiologist-Hearing Aid Fitter
408
MT
237600000X
Audiologist-Hearing Aid Fitter
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AUD400
AUDIOLOGY LIC
CO
Enumeration date
02/19/2009
Last updated
06/22/2011
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