MEDICARE: DAVID H BELLAMAH MD

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	2086S0129X	Vascular Surgery Physician	9851	MT
2	208600000X	Surgery Physician	9851	MT

General Provider Information

NPI Number	:	1760426647
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID H BELLAMAH MD

Provider Business Mailing Address
First Line	:	2975 STOCKYARD RD
Second Line	:
City	:	MISSOULA
State	:	MT
Zip	:	59808-1557
Country	:	US
Telephone Number	:	406-541-3200
Fax Number	:	406-541-3201

Provider Business Practice Location Address
First Line	:	2975 STOCKYARD RD
Second Line	:
City	:	MISSOULA
State	:	MT
Zip	:	59808-1557
Country	:	US
Telephone Number	:	406-541-3200
Fax Number	:	406-541-3201

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

Provider Enumeration Date	:	06/15/2006
Last Update Date	:	04/06/2023

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Directions to “ DAVID H BELLAMAH MD” Practice Location

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