| Pmg Mt Broadway Internal Med | |
|
500 W Broadway St Fl 4 Missoula MT 59802-4008 | |
| (406) 327-1940 | |
| Not Available |
| Full Name | Pmg Mt Broadway Internal Med |
|---|---|
| Speciality | Internal Medicine |
| Location | 500 W Broadway St Fl 4, 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 |
|---|---|
| Pmg Mt Broadway Internal Med Po Box 31001 - 4114 Pasadena CA 91110-4114 | Pmg Mt Broadway Internal Med 500 W Broadway St Fl 4 Missoula MT 59802-4008 Ph: (406) 327-1940 |
| NPI Number | 1427281203 |
|---|---|
| Provider Enumeration Date | 08/27/2009 |
| Last Update Date | 09/16/2026 |
| Certification Date | 09/16/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427281203 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
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