| Shaneyfelt Gastroenterology, Pc | |
|
931 Highland Blvd Ste 3330 Bozeman MT 59715-6912 | |
| (406) 586-0103 | |
| (406) 582-7455 |
| Full Name | Shaneyfelt Gastroenterology, Pc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 931 Highland Blvd Ste 3330, Bozeman, Montana |
| Authorized Official Name and Position | Steven Lr Shaneyfelt (PRESIDENT) |
| Authorized Official Contact | 4065860103 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shaneyfelt Gastroenterology, Pc 931 Highland Blvd Ste 3330 Bozeman MT 59715-6912 Ph: (406) 586-0103 | Shaneyfelt Gastroenterology, Pc 931 Highland Blvd Ste 3330 Bozeman MT 59715-6912 Ph: (406) 586-0103 |
| NPI Number | 1336386721 |
|---|---|
| Provider Enumeration Date | 01/07/2009 |
| Last Update Date | 01/07/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336386721 | NPI | - | NPPES |
| 0980395 | Medicaid | MT | |
| 1033203831 | Other | MT | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 4928 (Montana) | Primary |
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