Providence Health & Services Mt

NPI #1063653897 in Missoula, Montana

Provider Information

NPI Number
1063653897
Entity Type
Organization
Organization Name
Providence Health & Services Mt
Subpart
Yes (part of a larger organization)
Parent Organization
PROVIDENCE HEALTH & SERVICES
Primary Specialty
Physical Medicine & Rehabilitation - Spinal Cord Injury Medicine
Enumeration Date
Mar 6, 2009
Last Updated
May 6, 2025

Practice Location

Address
500 W BROADWAY ST
Address 2
3RD FLOOR
State
Montana
ZIP Code
59802-4096
Phone
(406) 327-1670

Authorized Official

Name
DONALD W ANDERSON JR.
Title
ASSISTANT SECRETARY ENROLLMENT
Phone
(425) 358-9786

Specialties & Taxonomy Codes

Specialty
Clinic/Center - PainPain
Physical Medicine & Rehabilitation - Spinal Cord Injury MedicineSpinal Cord Injury Medicine

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