Providence Health & Services Mt
NPI #1407013261 in Deer Lodge, Montana
Provider Information
- NPI Number
- 1407013261
- Entity Type
- Organization
- Organization Name
- Providence Health & Services Mt
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- PROVIDENCE HEALTH & SERVICES
- Primary Specialty
- Internal Medicine - Cardiovascular Disease
- Enumeration Date
- May 20, 2008
- Last Updated
- Jun 20, 2025
Practice Location
- Address
- 1101 TEXAS AVE
- City
- Deer Lodge
- State
- Montana
- ZIP Code
- 59722-1828
- Phone
- (406) 846-1722
Authorized Official
- Name
- DONALD WAYNE ANDERSON JR.
- Title
- ASSISTANT SECRETARY ENROLLMENT
- Phone
- (425) 358-9786
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Interventional Cardiology — Interventional Cardiology |
| Internal Medicine - Pulmonary Disease — Pulmonary Disease |
| Internal Medicine - Cardiovascular Disease — Cardiovascular Disease |
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