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

Providence Health & Services Mt

Organization Endocrinology, Diabetes & Metabolism Physician · NPI 1235370065

Providence Health & Services Mt is an Endocrinology, Diabetes & Metabolism Physician in Missoula, Montana. Registered with an NPI since 2009.

In the registry since
2009

Practice location Address checks out

500 W Broadway St 1st Fl
Missoula, MT 59802-4096
Phone: (406) 327-5734
Show map & directions

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

Specialties & licences

Endocrinology, Diabetes & Metabolism Physician (primary) Taxonomy 207RE0101X

Record details

NPI number1235370065
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationProvidence Health & Services
Authorized official Donald Anderson — Assistant Secretary Enrollments · (425) 358-9786
Other names Pmg Mt Wound Care; Pmg Mt Wound Care; Providence Medical Group Montana
NPI enumeratedMarch 6, 2009
Last updated in NPPESMay 6, 2025
Certification dateMay 6, 2025
Mailing addressPo Box 31001 - 4114, Pasadena, CA 91110-4114

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