MARVIN H. BACKER, PH.D., P.A.
Ambulatory Health at Main St, Bozeman, MT

License number
Montana 80
Category
Ambulatory Health
Type
Adult Mental Health
Owner
Name: DR. MARVIN HOWARD BACKER PH.D.
Title: PRESIDENT
Phone: (406) 587-9558
Address
Address
222 E Main St SUITE 203, Bozeman, MT 59715
National Provider ID: 1477738615
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MARVIN H. BACKER, PH.D., PA

502 S 19, Bozeman, MT 59718

Industry:
290, PROFESSIONAL SERVICE-GENERAL
Registration:
Aug 27, 1973
State ID:
F011095
Business type:
12
Entity State:
NM
Agent:
Marvin Backer,502 S 19, Bozeman, MT 59718 (Physical)

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