MEDICARE: ROBERT ZELMAN DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RI0011X	Interventional Cardiology Physician	11914	MT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0000094958	OTHER	MT	BCBS MT
2	000085424	OTHER	MT	GROUP

General Provider Information

NPI Number	:	1669472395
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT ZELMAN DO

Provider Business Mailing Address
First Line	:	PO BOX 6010
Second Line	:
City	:	GREAT FALLS
State	:	MT
Zip	:	59406-6010
Country	:	US
Telephone Number	:	406-455-4477
Fax Number	:	406-268-0084

Provider Business Practice Location Address
First Line	:	1300 28TH ST S
Second Line	:	SUITE 10
City	:	GREAT FALLS
State	:	MT
Zip	:	59405-5296
Country	:	US
Telephone Number	:	406-455-4320
Fax Number	:	406-452-0769

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/22/2005
Last Update Date	:	05/27/2009

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Directions to “ ROBERT ZELMAN DO” Practice Location

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