Healthcare Provider Details
I. General information
NPI: 1114944931
Provider Name (Legal Business Name): MEDICAL ASSOCIATES PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/16/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
935 HIGHLAND BLVD SUITE 4400
BOZEMAN MT
59715-6904
US
IV. Provider business mailing address
935 HIGHLAND BLVD SUITE 4400
BOZEMAN MT
59715-6904
US
V. Phone/Fax
- Phone: 406-587-5123
- Fax: 406-556-6758
- Phone: 406-587-5123
- Fax: 406-556-6758
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CINDY
A
COX
Title or Position: BILLING COORDINATOR
Credential:
Phone: 406-556-6732