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

Providence Health & Services Mt

Organization Family Medicine Physician · NPI 1083578314

Providence Health & Services Mt is a Family Medicine Physician in Missoula, Montana. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

3017 Paxson St
Missoula, MT 59801
Phone: (406) 519-3422
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1083578314
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary Enrollment · (425) 358-9786
Other names Providence Medical Group Montana
NPI enumeratedDecember 11, 2025
Last updated in NPPESDecember 11, 2025
Certification dateDecember 5, 2025
Mailing addressPo Box 31001 - 4114, Pasadena, CA 91110-4114

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