Individual
MS. BOBBIE SUE BAMFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT NCTMB
Contact information
Practice address
412 W 3RD ST, LIBBY, MT 59923-1754
(406) 291-3056
Mailing address
PO BOX 180, LIBBY, MT 59923-0180
(406) 291-3056
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1168
MT
Other
Enumeration date
01/22/2012
Last updated
01/22/2012
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