Individual
MR. JUSTIN CLAYTON EISEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
915 HIGHLAND BLVD, BOZEMAN, MT 59715-6902
(406) 414-5000
Mailing address
915 HIGHLAND BLVD, BOZEMAN, MT 59715-6902
(406) 414-5000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MED-PHYS-LIC-11007
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
242403
—
MT
05
—
286927600
—
MN
Enumeration date
07/24/2006
Last updated
04/16/2025
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