Pediatric Potentials
Specialty details in registry · Bozeman, MT
At a glance
1122 E Main St Ste 4, Bozeman, MT 59715-3888
NPPES record updated Jun 21, 2017. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Practice location
1122 E Main St Ste 4Bozeman, MT 59715-3888
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 225XP0200X
- Enumeration date
- Jun 21, 2017
- Record updated
- Jun 21, 2017
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
225XP0200X · Primary
License reported: 863 MT
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
1122 E Main St Ste 4Bozeman, MT 59715-3888
- Phone
- (406) 582-4182
- Fax
- (406) 582-4148
Mailing address
519 E FRIDLEY STBOZEMAN, MT 597153717
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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