BOZEMAN SKIN CLINIC PROFESSIONAL CORPORATION is a medical specialty clinic center in Bozeman, MT. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). BOZEMAN SKIN CLINIC PROFESSIONAL CORPORATION NPI is 1275701351. The provider is registered as an organization entity type.
The provider's business location address is:
300 N WILLSON AVE
SUITE 203B
BOZEMAN, MT
ZIP 59715-551
Phone: (406) 587-5442
The provider's authorized official is John R Tkach .
The authorized official title is President and has the following contact phone number (406) 587-5442.
The enumeration date for this NPI number is 2/12/2008 and was last updated on 4/22/2013.