University of Montana

NPI #1811386220 in Missoula, Montana

Provider Information

NPI Number
1811386220
Entity Type
Organization
Organization Name
University of Montana
Primary Specialty
Family Medicine
Enumeration Date
Jan 22, 2015
Last Updated
Jan 22, 2015

Practice Location

Address
37 CAMPUS DR
Address 2
HOYT COMPLEX
State
Montana
ZIP Code
59812-0001
Phone
(406) 243-6282

Authorized Official

Name
MOUZON BASS III
Title
AGENT
Phone
18005559073

Specialties & Taxonomy Codes

Specialty
Family Medicine - Sports MedicineSports Medicine
Family Medicine

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