Wellformed AI

NPI 1457486276 · live from the CMS NPI Registry

Intermountain Neurology PC

Psychiatry & Neurology, Neurology in Bozeman, MT. National Provider Identifier 1457486276, active.

NPI record

NPI1457486276 Type 2 · organization
StatusActive
Primary specialtyPsychiatry & Neurology, Neurology 2084N0400X
Practice location650 Ferguson Ave, Suite 1, Bozeman, MT 59718
Practice phone406-922-2770
EnumeratedFebruary 22, 2007
Last updatedNovember 13, 2009
Authorized officialSherry Reid, Owner

Taxonomies and licenses

TaxonomyCodeLicense
Psychiatry & Neurology, Neurology primary2084N0400X10470 (MT)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.