Healthcare Provider Details

I. General information

NPI: 1326434762
Provider Name (Legal Business Name): ANNA S BEERS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ANNA STOMBERG MD

II. Dates (important events)

Enumeration Date: 04/13/2015
Last Update Date: 07/22/2021
Certification Date: 07/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

935 HIGHLAND BLVD STE 2200
BOZEMAN MT
59715-6915
US

IV. Provider business mailing address

935 HIGHLAND BLVD 2200 BH FAMILY MEDICINE
BOZEMAN MT
59715-6915
US

V. Phone/Fax

Practice location:
  • Phone: 406-414-5700
  • Fax:
Mailing address:
  • Phone: 406-414-5700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number67105
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: