Individual
SHAUNA L BETHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
937 HIGHLAND BLVD STE 5510, BOZEMAN, MT 59715-6916
(406) 414-4250
Mailing address
915 HIGHLAND BLVD, ATTN PFS CREDENTIALING, BOZEMAN, MT 59715-6916
(406) 414-4250
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
33985
MT
207RP1001X
Pulmonary Disease Physician
Primary
33985
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770691842
—
MT
Enumeration date
08/28/2006
Last updated
04/15/2025
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