| Providence Health & Services Mt | |
|
902 N Orange St Missoula MT 59802-2928 | |
| (406) 321-1732 | |
| (425) 687-3615 |
| Full Name | Providence Health & Services Mt |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 902 N Orange 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 Health & Services Mt Po Box 31001 - 4114 Pasadena CA 91110-4114 Ph: () - | Providence Health & Services Mt 902 N Orange St Missoula MT 59802-2928 Ph: (406) 321-1732 |
| NPI Number | 1336380161 |
|---|---|
| Provider Enumeration Date | 03/06/2009 |
| Last Update Date | 05/06/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336380161 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
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