Providence Health & Services Mt

NPI #1083578314 in Missoula, Montana

Provider Information

NPI Number: 1083578314
Entity Type: Organization
Organization Name: Providence Health & Services Mt
Primary Specialty: Family Medicine
Enumeration Date: Dec 11, 2025
Last Updated: Dec 11, 2025

Practice Location

Address: 3017 PAXSON STREET
City: Missoula
State: Montana
ZIP Code: 59801
Phone: (406) 519-3422

Authorized Official

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

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