OrganizationActive
Bozeman Skin Clinic Professional Corporation
NPI 1275701351 · Medical Specialty Clinic/Center · Bozeman, MT
Provider details
- NPI number
- 1275701351
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- John Tkach, President
- License
- 3871 (MT)
Practice location
300 N Willson Ave
Suite 203b
Bozeman, MT 59715-3551
Phone: (406) 587-5442
Mailing address
300 N Willson Ave
Bozeman, MT 59715-3551
Registry dates
- Enumerated
- 2008-02-12
- Last updated
- 2013-04-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.