Provider Demographics
NPI:1891173225
Name:MCINNIS, COLIN PATRICK (MD)
Entity Type:Individual
Prefix:DR
First Name:COLIN
Middle Name:PATRICK
Last Name:MCINNIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3820 N 27TH AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59718
Mailing Address - Country:US
Mailing Address - Phone:406-587-1245
Mailing Address - Fax:406-587-1092
Practice Address - Street 1:3820 N 27TH AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59718
Practice Address - Country:US
Practice Address - Phone:406-587-1245
Practice Address - Fax:406-587-1092
Is Sole Proprietor?:No
Enumeration Date:2015-05-18
Last Update Date:2024-03-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MTMED-PHYS-LIC-81043207W00000X, 207WX0009X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0009XAllopathic & Osteopathic PhysiciansOphthalmologyGlaucoma Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology