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

Providence Health & Services Mt

Organization Cardiovascular Disease Physician · NPI 1427096585

Providence Health & Services Mt is a Cardiovascular Disease Physician in Missoula, Montana. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
6
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Practice location Address checks out

500 W Broadway St Ste 320
Missoula, MT 59802
Phone: (406) 329-5615
Fax: (406) 329-5606
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence N/A
Clinical Cardiac Electrophysiology Physician Taxonomy 207RC0001X · Licence N/A
Interventional Cardiology Physician Taxonomy 207RI0011X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Taxonomy 208G00000X
Medical Physician Assistant Taxonomy 363AM0700X · Licence N/A

Record details

NPI number1427096585
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationProvidence Health & Services
Authorized official Donald Anderson — Asst Secretary Enrollment · (425) 358-9786
Other names Pmg Mt Ihi; Providence Medical Goup Montana
NPI enumeratedJune 2, 2006
Last updated in NPPESMay 6, 2025
Certification dateMay 6, 2025
Mailing addressPo Box 31001 - 4114, Pasadena, CA 91110-4114

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