Individual provider · NPI-1

Mark C Deibert, MD

Orthopaedic Surgery, Sports Medicine · Bozeman, MT

NPI number1437159944
StatusActive
Last updated in NPPESOct 27, 2011

Details

NPI
1437159944
Entity type
Individual (NPI-1)
Name
Mark C Deibert
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jul 26, 2005
Last updated
Oct 27, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207XX0005X Orthopaedic Surgery, Sports Medicine8221MTYes

Practice location

536 Cottonwood Rd
Suite 100
Bozeman, MT 59718

Phone 406-586-8029 · Fax 406-586-8009

Mailing address

536 Cottonwood Rd
Suite 100
Bozeman, MT 59718

Phone 406-586-8029 · Fax 406-586-8009

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