Providence Health & Services Mt

NPI #1649401076 in Missoula, Montana

Provider Information

NPI Number
1649401076
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 - Interventional Cardiology
Enumeration Date
Aug 3, 2009
Last Updated
May 7, 2025

Practice Location

Address
2829 GREAT NORTHERN LOOP
Address 2
SUITE 300
State
Montana
ZIP Code
59808-1752
Phone
(406) 541-7000

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Internal Medicine - Interventional CardiologyInterventional Cardiology

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