| Bozeman Sports Medicine, Inc. | |
|
4181 Fallon St Ste 2 Bozeman MT 59718-4400 | |
| (406) 586-2865 | |
| (406) 558-2891 |
| Full Name | Bozeman Sports Medicine, Inc. |
|---|---|
| Speciality | Family Medicine - Sports Medicine |
| Location | 4181 Fallon St Ste 2, Bozeman, Montana |
| Authorized Official Name and Position | Erik Stuart Adams (PRESIDENT) |
| Authorized Official Contact | 4065953861 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bozeman Sports Medicine, Inc. 117 E Oak St Ste 1a Bozeman MT 59715-2977 Ph: (406) 595-3861 | Bozeman Sports Medicine, Inc. 4181 Fallon St Ste 2 Bozeman MT 59718-4400 Ph: (406) 586-2865 |
| NPI Number | 1164083531 |
|---|---|
| Provider Enumeration Date | 06/25/2019 |
| Last Update Date | 09/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164083531 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Primary |
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