Provider Demographics
NPI:1215909049
Name:BOZEMAN, JAMES DOUGLAS (DO)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:DOUGLAS
Last Name:BOZEMAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:305 W PORPHYRY ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:BUTTE
Mailing Address - State:MT
Mailing Address - Zip Code:59701-2000
Mailing Address - Country:US
Mailing Address - Phone:406-496-3627
Mailing Address - Fax:406-723-2495
Practice Address - Street 1:305 W PORPHYRY ST
Practice Address - Street 2:SUITE 200
Practice Address - City:BUTTE
Practice Address - State:MT
Practice Address - Zip Code:59701-2000
Practice Address - Country:US
Practice Address - Phone:406-496-3627
Practice Address - Fax:406-723-2495
Is Sole Proprietor?:No
Enumeration Date:2006-02-06
Last Update Date:2016-02-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ND9220207V00000X
MT7546207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology