Providence Health & Services Mt
Providence Health & Services Mt is a Spinal Cord Injury Medicine Physician in Missoula, Montana. Registered with an NPI since 2009.
- In the registry since
- 2009
- Specialties on file
- 2
Practice location Address checks out
500 W Broadway St 3rd FlMissoula, MT 59802-4096
Phone: (406) 327-1670
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Spinal Cord Injury Medicine Physician (primary) | Taxonomy 2081P0004X |
|---|---|
| Pain Clinic/Center | Taxonomy 261QP3300X |
Record details
| NPI number | 1063653897 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Providence Health & Services |
| Authorized official | Donald Anderson — Assistant Secretary Enrollment · (425) 358-9786 |
| Other names | Pmg Mt Spine & Pain; Pmg Mt Spine & Pain; Providence Medical Group Montana |
| NPI enumerated | March 6, 2009 |
| Last updated in NPPES | May 6, 2025 |
| Certification date | May 6, 2025 |
| Mailing address | Po Box 31001 - 4114, Pasadena, CA 91110-4114 |