MEDICARE: DR. TRENA KAY BONDE M.D.

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	207Q00000X	Family Medicine Physician	10914	MT

General Provider Information

NPI Number	:	1750373049
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TRENA KAY BONDE M.D.

Provider Business Mailing Address
First Line	:	1275 ANGUS RD
Second Line	:
City	:	HELENA
State	:	MT
Zip	:	59602-8350
Country	:	US
Telephone Number	:	406-422-0009
Fax Number	:

Provider Business Practice Location Address
First Line	:	405 SADDLE DR
Second Line	:
City	:	HELENA
State	:	MT
Zip	:	59601-5632
Country	:	US
Telephone Number	:	406-442-0120
Fax Number	:

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

Provider Enumeration Date	:	08/22/2005
Last Update Date	:	07/08/2007

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