Organization Name: | MARK F. OZOG M.D. P.C. |
NPI Number: | 1174654206 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KARLA KAY ELLIS (ADMINISTRATOR) |
Mailing Address: | 1417 9th St S Ste 100 Great Falls |
State: | MT US |
Postal Code: | 594054509 |
Phone Number: | 4064531613 |
Fax Number: | 4064533717 |
NPI Enumeration Date: | 03/08/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 7816 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |