Organization
MONTANA PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHELSEA BODNAR MD (CEO)
(406) 272-4631
Entity
Organization
Contact information
Practice address
2320 57TH ST, MISSOULA, MT 59803-3102
(406) 272-4631
Mailing address
PO BOX 7249, MISSOULA, MT 59807-7249
(406) 303-1078
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
12/20/2016
Last updated
12/07/2020
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