Organization
JOHN A. VALLIN, M.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN ANTHONY VALLIN M.D. (PHYSICIAN)
(406) 223-2497
Entity
Organization
Contact information
Practice address
85 BRANDON TRAIL RD, BOZEMAN, MT 59715-1707
(406) 223-2497
(406) 586-6867
Mailing address
85 BRANDON TRAIL RD, BOZEMAN, MT 59715-1707
(406) 223-2497
(406) 586-6867
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
8070
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
22491
—
MT
Enumeration date
02/14/2012
Last updated
02/14/2012
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