Missoula Osteopathic Clinic, Pllc
NPI #1912133885 in Missoula, Montana
Provider Information
- NPI Number
- 1912133885
- Entity Type
- Organization
- Organization Name
- Missoula Osteopathic Clinic, Pllc
- Primary Specialty
- Neuromusculoskeletal Medicine & OMM
- Enumeration Date
- Jun 5, 2009
- Last Updated
- Jun 5, 2009
Practice Location
Authorized Official
- Name
- SAM A WALLACE, D.O.
- Title
- OWNER/PHYSICIAN
- Phone
- (406) 327-0269
Specialties & Taxonomy Codes
| Specialty |
|---|
| Neuromusculoskeletal Medicine & OMM |
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