| Missoula Sports Medicine And Imaging Llc | |
|
1510 S Reserve St Missoula MT 59801-4756 | |
| (406) 540-4117 | |
| Not Available |
| Full Name | Missoula Sports Medicine And Imaging Llc |
|---|---|
| Speciality | Family Medicine - Sports Medicine |
| Location | 1510 S Reserve St, Missoula, Montana |
| Authorized Official Name and Position | Timothy J Mccue (OWNER/PHYSICIAN) |
| Authorized Official Contact | 4065404117 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Missoula Sports Medicine And Imaging Llc 1510 S Reserve St Missoula MT 59801-4756 Ph: (406) 540-4117 | Missoula Sports Medicine And Imaging Llc 1510 S Reserve St Missoula MT 59801-4756 Ph: (406) 540-4117 |
| NPI Number | 1700762200 |
|---|---|
| Provider Enumeration Date | 08/12/2025 |
| Last Update Date | 08/12/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700762200 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Primary |
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