Individual
HEATHER HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
931 HIGHLAND BLVD STE 3220, BOZEMAN, MT 59715-6912
(406) 522-2400
Mailing address
937 HIGHLAND BLVD, STE 5410, BOZEMAN, MT 59715-6916
(406) 522-2400
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000094033
BLUE CROSS OF MT
MT
05
—
4305210
—
MT
01
—
P00218201
MEDICARE RAILROAD
—
Enumeration date
08/03/2006
Last updated
09/17/2018
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