Individual
KLEANTHIS G DENDRINOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
875 S COTTONWOOD RD STE 200, BOZEMAN, MT 59718-4208
(406) 414-5336
(406) 414-5337
Mailing address
915 HIGHLAND BLVD, BOZEMAN, MT 59715-6902
(406) 414-5000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
220124
MA
207RG0100X
Gastroenterology Physician
7943A
WY
207RG0100X
Gastroenterology Physician
Primary
MED-PHYS-LIC-58486
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861528457
—
WY
Enumeration date
02/26/2007
Last updated
04/10/2025
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