Providence Health & Services Mt
Providence Health & Services Mt is an Obesity Medicine (Internal Medicine) Physician in Missoula, Montana. Registered with an NPI since 2009.
- In the registry since
- 2009
Practice location Address checks out
500 W Broadway St 4th FlMissoula, MT 59802-4096
Phone: (406) 329-5866
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Obesity Medicine (Internal Medicine) Physician (primary) | Taxonomy 207RB0002X |
|---|
Record details
| NPI number | 1124268982 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Providence Health & Services |
| Authorized official | Donald Anderson — Assistant Secretary Enrollments · (425) 358-9786 |
| Other names | Providence Medical Group Montana; Pmg Mt Bariatric Services |
| NPI enumerated | March 5, 2009 |
| Last updated in NPPES | May 6, 2025 |
| Certification date | May 6, 2025 |
| Mailing address | Po Box 31001 - 4114, Pasadena, CA 91110-4114 |