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

Providence Health & Services Mt

Organization Infectious Disease Physician · NPI 1336380161

Providence Health & Services Mt is an Infectious Disease Physician in Missoula, Montana. Registered with an NPI since 2009.

In the registry since
2009

Practice location Address checks out

902 N Orange St
Missoula, MT 59802-2928
Phone: (406) 321-1732
Fax: (425) 687-3615
Show map & directions

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

Specialties & licences

Infectious Disease Physician (primary) Taxonomy 207RI0200X

Record details

NPI number1336380161
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationProvidence Health & Services
Authorized official Donald Anderson — Assistant Secretary Enrollments · (425) 358-9786
Other names Pmg Mt Infection Disease; Pmg Mt Infection Disease; 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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