Organization

The Matriarch Clinic

Internal Medicine Physician in Bozeman, MT(View on Map)

Legal Business Name

The Matriarch Clinic

NPI Number

1366200206

NPI Type

Organization

Enumeration Date

03/06/2024

Specialties

(Taxonomies)

Code

207R00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

2975 MAX AVE # 1187
62 TILLYFOUR RD

City

Bozeman
Bozeman

State

MT
MT

Postal Code

59718-7143
59718-9666

Country

US
US

Telephone Number

(406) 414-0020
(406) 414-0020

Authorized Official

Name

Amy Consson

Title or Position

OWNER

Telephone Number

(406) 606-0332

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/06/2024

Provider Address

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