Individual
MS. ELAINE SUSAN SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
935 HIGHLAND BLVD STE 2200, BOZEMAN, MT 59715-6915
(406) 414-5700
Mailing address
935 HIGHLAND BLVD 2200, BH FAMILY MEDICINE, BOZEMAN, MT 59715-6915
(406) 414-5700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
6340
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992813257
—
MT
Enumeration date
08/28/2006
Last updated
03/16/2020
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