Missoula Osteopathic Clinic, LLC
Missoula Osteopathic Clinic, LLC is a Family Medicine Physician in Missoula, Montana. Licensed in Montana. Registered with an NPI since 2013.
- Licensed in
- MT
- In the registry since
- 2013
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
341 W Pine StMissoula, MT 59802-4119
Phone: (406) 327-0269
Fax: (406) 327-0264
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence MED-PHYS-LIC-8667 (MT) |
|---|
Record details
| NPI number | 1326487430 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Sam Wallace — Owner/Physician · (406) 327-0269 |
| NPI enumerated | June 21, 2013 |
| Last updated in NPPES | November 10, 2022 |
| Certification date | October 26, 2022 |
| Mailing address | 341 W Pine St, Missoula, MT 59802-4119 |
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Missoula Family Medical Center, LLC
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Dr. Jacqueline Michelle Ordemann, MD
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