Provider Demographics
NPI:1487205670
Name:MONTANA MEDICAL SOLUTIONS PLLC
Entity Type:Organization
Organization Name:MONTANA MEDICAL SOLUTIONS PLLC
Other - Org Name:GALLATIN UROLOGY AND AVIATION MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:BRUCE
Authorized Official - Last Name:ROBERTSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:406-551-2306
Mailing Address - Street 1:205 RIDGE TRL
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59715-9253
Mailing Address - Country:US
Mailing Address - Phone:406-551-2306
Mailing Address - Fax:855-544-7367
Practice Address - Street 1:711 W MAIN ST
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59715-3356
Practice Address - Country:US
Practice Address - Phone:406-551-2306
Practice Address - Fax:855-544-7376
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-27
Last Update Date:2022-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty