| Providence Medical Group Montana | |
|
500 W Broadway St 4th Floor Missoula MT 59802-4096 | |
| (406) 329-5866 | |
| Not Available |
| Full Name | Providence Medical Group Montana |
|---|---|
| Speciality | Internal Medicine - Obesity Medicine |
| Location | 500 W Broadway St, Missoula, Montana |
| Authorized Official Name and Position | Donald Wayne Anderson (ASSISTANT SECRETARY ENROLLMENTS) |
| Authorized Official Contact | 4253589786 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Medical Group Montana Po Box 31001 - 4114 Pasadena CA 91110-4114 Ph: (406) 329-5866 | Providence Medical Group Montana 500 W Broadway St 4th Floor Missoula MT 59802-4096 Ph: (406) 329-5866 |
| NPI Number | 1124268982 |
|---|---|
| Provider Enumeration Date | 03/05/2009 |
| Last Update Date | 05/06/2025 |
| Certification Date | 05/06/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124268982 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RB0002X | Internal Medicine - Obesity Medicine | () | Primary |
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