Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Missoula Osteopathic Clinic, PLLC

Organization Neuromusculoskeletal Medicine & OMM Physician · NPI 1912133885

Missoula Osteopathic Clinic, PLLC is a Neuromusculoskeletal Medicine & OMM Physician in Missoula, Montana. Licensed in Montana. Registered with an NPI since 2009.

Licensed in
MT
In the registry since
2009
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

341 W Pine St
Missoula, MT 59802-4119
Phone: (406) 327-0269
Fax: (406) 327-0264
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neuromusculoskeletal Medicine & OMM Physician (primary) Taxonomy 204D00000X · Licence 8667 (MT)
Neuromusculoskeletal Medicine & OMM Physician Taxonomy 204D00000X · Licence 11754 (MT)
Neuromusculoskeletal Medicine & OMM Physician Taxonomy 204D00000X · Licence 11801 (MT)

Record details

NPI number1912133885
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sam Wallace — Owner/Physician · (406) 327-0269
NPI enumeratedJune 5, 2009
Last updated in NPPESJune 5, 2009
Mailing address341 W Pine St, Missoula, MT 59802-4119

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