Whalio Doctors

NPI 1083775035

Thomas James Heriza, MD

Practitioner Psychiatry Physician Bozeman, MT

Practice location

Address
1871 S 22nd Ave STE 3, Bozeman, MT 59718-7054
Phone
(406) 585-3584
Fax
(406) 534-0411
Mailing address
1871 S. 22nd Ave STE 3, Bozeman, MT 59718-7054

Registered specialties

Psychiatry Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence 12436 (MT)

Registry record

NPI
1083775035
Entity type
Individual
Sex (as registered)
Male
NPI issued
13 Dec 2006
Record last updated
4 Apr 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.