Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 12164 | MT |
N | 111NI0900X | Internist | 12164 | MT |
N | 208000000X | Pediatrician | 12164 | MT |
NPI | 1003805847 |
---|---|
Provider Name | Dr. Tory Beth Katz |
First Address | Bozeman, MT 59715-6902 |
Second Address | Bozeman, MT 59715-6902 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/10/2005 |
Last Update Date | 30/07/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03772781 | (05) | NM |
42478227 | (05) | CO |
689888 | (05) | AZ |
H60672 | (02) |