Individual
LEAH MARIE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
316 E BABCOCK ST, BOZEMAN, MT 59715-4710
(406) 585-0022
(406) 585-0032
Mailing address
316 E BABCOCK ST, BOZEMAN, MT 59715-4710
(406) 585-0022
(406) 585-0032
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12136
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1851504195
MEDICA
—
05
—
1851504195
—
MT
Enumeration date
05/07/2007
Last updated
05/08/2014
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