Bozeman Skin Clinic Professional Corporation

NPI #1275701351 in Bozeman, Montana

Provider Information

NPI Number
1275701351
Entity Type
Organization
Organization Name
Bozeman Skin Clinic Professional Corporation
Primary Specialty
Clinic/Center - Medical Specialty
Enumeration Date
Feb 12, 2008
Last Updated
Apr 22, 2013

Practice Location

Address
300 N WILLSON AVE
Address 2
SUITE 203B
State
Montana
ZIP Code
59715-3551
Phone
(406) 587-5442

Authorized Official

Name
MR. JOHN R TKACH, MD
Title
PRESIDENT
Phone
(406) 587-5442

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Medical SpecialtyMedical Specialty

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