NPI 1497803803
Jan Dean Clark, DMD
Practice location
- Address
- 300 No Willson 602f, Bozeman, MT 59715
- Phone
- (406) 586-5318
- Fax
- (406) 586-1635
- Mailing address
- 1125 W Kagy Blvd STE 101, Bozeman, MT 59715-5879
Registered specialties
Podiatrist
Primary
Registry record
- NPI
- 1497803803
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 8 Jan 2007
- Record last updated
- 1 Oct 2024
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.