PROVIDENCE HEALTH & SERVICES MT
Organization (NPI-2)
Active
Internal Medicine
Provider Information
- NPI Number
1730325440- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 2819 GREAT NORTHERN LOOP SUITE 200, MISSOULA, MT, 598081750
- Phone
- (406) 543-1197
- Fax
- (406) 543-0515
Specialties & Taxonomies
Internal Medicine
Primary License: MT #0411866