NPI 1215108576
Park Clinic Ob-Gyn
Practice location
- Address
- 300 N Willson Ave, Bozeman, MT 59715-3551
- Phone
- (406) 222-0605
- Mailing address
- 320 Alpenglow Ln, Livingston, MT 59047-8506
Authorised official
- Name
- Debra Anczak
- Title
- Ceo
- Phone
- (406) 823-6611
Registered specialties
Obstetrics & Gynecology Physician
Primary
Registry record
- NPI
- 1215108576
- Entity type
- Organization
- NPI issued
- 14 Mar 2008
- Record last updated
- 14 Mar 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.