Healthcare Provider Details

I. General information

NPI: 1801069802
Provider Name (Legal Business Name): ZACHARY S MEYERS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2008
Last Update Date: 04/15/2025
Certification Date: 04/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

875 S COTTONWOOD RD STE 300
BOZEMAN MT
59718-4221
US

IV. Provider business mailing address

915 HIGHLAND BLVD
BOZEMAN MT
59715-6902
US

V. Phone/Fax

Practice location:
  • Phone: 406-414-4100
  • Fax: 406-414-5768
Mailing address:
  • Phone: 406-414-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number11861
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: