Individual
DR. COLIN PATRICK MCINNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3820 N 27TH AVE, SUITE 100, BOZEMAN, MT 59718
(406) 587-1245
(406) 587-1092
Mailing address
3820 N 27TH AVE, SUITE 100, BOZEMAN, MT 59718
(406) 587-1245
(406) 587-1092
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
MED-PHYS-LIC-81043
MT
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
Primary
MED-PHYS-LIC-81043
MT
Other
Enumeration date
05/18/2015
Last updated
10/24/2024
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