Ms. Mary S. Boscamp PA-C
Medical Physician Assistant in Bozeman, MT(View on Map)
Full Name
Ms. Mary S. Boscamp PA-C
NPI Number
1992743330
NPI Type
Individual Provider
Gender
Female
Enumeration Date
06/04/2006
Specialties
(Taxonomies)Licenses
State
Montana
License Number
578
Contact
Information
Purpose
Mailing
Location
Address
1006 W MAIN ST
1006 W MAIN ST
City
Bozeman
Bozeman
State
MT
MT
Postal Code
59715-3219
59715-3219
Country
US
US
Telephone Number
(406) 414-4800
(406) 414-4800
Identifiers
Identifier
122731900
Identifier State
WY
Identifier Issuer
Unknown
Health Information Exchange
Endpoint Type
DIRECT
Endpoint
mboscamp6973647@direct.sanfordhealth.org
Endpoint Description
Unknown
Use
Direct
Content Type
CSV
Affiliation
Y
Endpoint Location
Bozeman Health Urgent Care1006 W Main StBozeman, MT597153219US
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/23/2021
Provider Address
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