Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0300X | Periodontist | 2169 | MT |
NPI | 1134196884 |
---|---|
Provider Name | Dr. Steven Herbert Helm |
First Address | Bozeman, MT 59715-9303 |
Second Address | Bozeman, MT 59715-3551 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/03/2006 |
Last Update Date | 08/07/2007 |